Cathy Martin, SLP
Individual provider Active NPI Speech-Language Pathologist · Stanleytown, VA
NPI 1508366154 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1508366154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2203000490 (VA)
- Practice address
- 74 Edgewood Dr
Stanleytown, VA 24168-3001 - Phone
- (276) 629-5084
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|
| 2203000490 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2203000490 | VA | Yes |
Addresses
Primary practice location
74 Edgewood Dr
Stanleytown, VA 24168-3001
Mailing address
178 Beechnut Cir
Ridgeway, VA 24148-3314
Phone (276) 629-5085
Other providers in Stanleytown, VA
- Miranda Givens Gunn
- Jana Danielle Hopper
- Summer Hoyle
- Deana Johnson
- Erin Lanigan
- Morgan McPherson
- O&W Enterprises
- Mark O Okafor
- Renee E Sexton
- Krystal Renee Showers
All providers in Stanleytown, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. 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.