Cailynn Louise Martin
Individual provider Active NPI Speech-Language Pathologist · Rochester, IL
NPI 1376375105 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1376375105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.007792 (IL)
- Practice address
- 456 Bertrand Dr
Rochester, IL 62563-9283 - Phone
- (217) 782-1979
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 242.007792 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.007792 | IL | Yes |
Addresses
Primary practice location
456 Bertrand Dr
Rochester, IL 62563-9283
Mailing address
537 N 1St St
Girard, IL 62640-1209
Phone (217) 883-1657
Other practice location 1
3900 Pintail Dr
Springfield, IL 62711-7379
Phone (217) 726-6956
Other providers in Rochester, IL
- Michael Lee Hawk
- Susan Michelle Hensey
- Constance Sue Kayser
- Angela Rene' Koerwitz
- Steven Joseph Lewis
- Autumn McDevitt
- Martin Louis Michelson
- Mobility Solutions Pro, LLC
- Robin L Moore
- Miranda Marie Morris
All providers in Rochester, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. 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.