NPI 1063554657
Jennifer Farragut Martin, MSCCCSLP
Practice location
- Address
- 137 Beechwood Dr, Hattiesburg, MS 39402-1442
- Phone
- (601) 466-0876
- Fax
- (601) 579-0283
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063554657
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Feb 2007
- Record last updated
- 25 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.