Mary Martineau
Individual provider Active NPI Speech-Language Pathologist · Glenbrook, NV
NPI 1679055461 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1679055461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1711 Logan Creek Drive
Glenbrook, NV 89413 - Phone
- (925) 487-7656
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy at Play, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Language Essentials Speech Pathology, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1711 Logan Creek Drive
Glenbrook, NV 89413
Mailing address
P.O. Box 143
Glenbrook, NV 89413
Other providers in Glenbrook, NV
All providers in Glenbrook, NV · Speech-Language Pathologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. 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.