Melanie Katharine Martin, TSLP
Individual provider Active NPI Speech-Language Pathologist · Pocatello, ID
NPI 1497033930 · NPPES record last updated Aug 2, 2011
Key facts
- NPI
- 1497033930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- TSLP-2126 (ID)
- Practice address
- 1110 Call Creek Dr Ste 4B
Pocatello, ID 83201-3072 - Phone
- (208) 233-4660
- Fax
- (208) 233-4262
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP-2126 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Therapy Services, LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP-2126 | ID | Yes |
Addresses
Primary practice location
1110 Call Creek Dr Ste 4B
Pocatello, ID 83201-3072
Mailing address
1110 Call Creek Dr Ste 4B
Pocatello, ID 83201-3072
Phone (208) 233-4660
Other names
- Ms. Melanie Katharine Lloyd
Other providers in Pocatello, ID
- Jordon Marshall
- Robert Ammon Marshall
- Robert Lance Marshall
- David E Martin
- Laynie Martin
- Morningstar Martin
- Anthony Martinez
- Isabela Mary Martinez
- Joann S Martinez
- Stephanie Danielle Martinez
All providers in Pocatello, ID · Speech-Language Pathologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 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.