Lorrie Martin
Individual provider Active NPI Speech-Language Pathologist · Porter, IN
NPI 1275839581 · NPPES record last updated Feb 3, 2011
Key facts
- NPI
- 1275839581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004439A (IN)
- Practice address
- 1480 Essex Dr
Porter, IN 46304-9797 - Phone
- (219) 926-4540
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004439A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004439A | IN | Yes |
Addresses
Primary practice location
1480 Essex Dr
Porter, IN 46304-9797
Mailing address
1480 Essex Dr
Porter, IN 46304-9797
Phone (219) 926-4540
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All providers in Porter, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.