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NPI Code Detail

MEDICARE: MR. MARTIN LOUIS SPENCER M.A., CCC-SLP

MEDICARE: MR. MARTIN LOUIS SPENCER M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP6703OH

General Provider Information

NPI Number : 1134118367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARTIN LOUIS SPENCER M.A., CCC-SLP
Provider Business Mailing Address
First Line : 974 BETHEL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2467
Country : US
Telephone Number : 614-538-2424
Fax Number : 614-538-2418
Provider Business Practice Location Address
First Line : 974 BETHEL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2467
Country : US
Telephone Number : 614-538-2424
Fax Number : 614-538-2418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/08/2007

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Directions to “ MR. MARTIN LOUIS SPENCER M.A., CCC-SLP” Practice Location

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