Nancy Jane Martin, CCC-SP
Individual provider Active NPI Speech-Language Pathologist · Sun Lakes, AZ
NPI 1407079296 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407079296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP5137 (AZ)
- Practice address
- 24628 S Lakeway Cir SE
Sun Lakes, AZ 85248-7311 - Phone
- (480) 802-9312
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|
| SLP5137 | AZ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP5137 | AZ | Yes |
Addresses
Primary practice location
24628 S Lakeway Cir SE
Sun Lakes, AZ 85248-7311
Mailing address
24628 S Lakeway Cir SE
Sun Lakes, AZ 85248-7311
Phone (480) 802-9312
Other providers in Sun Lakes, AZ
- Philip L Ku
- Brianne Nicole Labella
- Lakeside Internal Medicine, PLLC
- Deana Elaine Laster
- Toh-Hoai W. Lim, I
- Murphy G McCarty
- Jennifer S McDonald
- Michelle Therese McLaughlin
- Mirsaidi PLLC
- Matine Mirsaidi
All providers in Sun Lakes, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.