Elizabeth Martin, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP9096 Issued in AZ

Practice address

3721 Orion Dr
La Mesa, CA 91941-8027

Phone

(802) 505-5963

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1215330907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 ORION DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418027",
            "telephone_number": "802-505-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 ORION DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418027",
            "telephone_number": "802-505-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 S Avenida La Primera",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853679034",
            "country_code": "US",
            "telephone_number": "802-505-5963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP9096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marre
• Jessica Marsh, PHARMD, MBA
• Jonathan Marshall, DC
• Kate Elianna Marshall
• Veronica D. Martin Parris, LCSW
• Margaret Macy Martin, LCSW
• Robert Lee Martin, PH.D.
• Patricia Barbara Martinez, LCSW
• Robert Martinez, CNS
• Stephanie Martinez, FNP

• Speech-Language Pathologist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.