Stacy L Martin, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6973 Issued in OH

Practice address

2270 Warrensburg Rd
Delaware, OH 43015-1336

Phone

(740) 369-9614

Fax

(740) 363-5881

NPI assigned

Jul 15, 2007

Last updated

Jul 15, 2007By the provider in NPPES

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 Arts

State licenses

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1225237779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SAPPHIRE ICE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430155079",
            "telephone_number": "614-333-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 WARRENSBURG RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151336",
            "telephone_number": "740-369-9614",
            "fax_number": "740-363-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "6973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Eye Center Inc (Delaware Eye Center Optical)
• Marion Goodwill Industries, Inc.
• Candice Iman Martin, D.O.
• Hannah Katherine Martin
• Loretta Lynne Martin, APS.002972
• Maryhaven Inc
• Natalie Taylor Massa Wallace, DDS
• Ashley M Matchack, LPN
• Amy Mattern, D.O.
• John Roger Matthews II, PEER SPECIALIST

• Speech-Language Pathologist in Delaware, OH
• Providers in Delaware, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.