Amanda Martin
Individual provider Active NPI Speech-Language Pathologist · Milton, LA
NPI 1710625751 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1710625751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8424 (LA)
- Practice address
- 222 W Milton Ave
Milton, LA 70558 - Phone
- (337) 521-7740
- NPI assigned
- May 20, 2022
- 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 |
|---|---|---|---|
| 8424 | LA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8424 | LA | Yes |
Addresses
Primary practice location
222 W Milton Ave
Milton, LA 70558
Mailing address
222 W. Milton Avenue
Milton, LA 70558
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | axmartin@lpssonline.com | Direct |
Other providers in Milton, LA
All providers in Milton, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. 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.