Ellianne Kimes Martin
Ellianne Kimes Martin is a Speech-Language Pathologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
710 Kenmoor Ave SE Ste 110Grand Rapids, MI 49546-2379
Phone: (616) 591-2905
Fax: (616) 333-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 7152000343 (MI) |
|---|
Record details
| NPI number | 1770212342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 8, 2022 |
| Last updated in NPPES | June 8, 2022 |
| Certification date | June 8, 2022 |
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