Deborah Lynn Martin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17180 Issued in TX

Practice address

612 S Irene St
San Angelo, TX 76903-6629

Phone

(325) 658-6571

Fax

(325) 653-0036

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Education Service Center Region XV

  • Occupational Therapist
  • San Angelo, TX
  • NPI 1396867966

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1821628512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769025199",
            "telephone_number": "325-658-6571",
            "fax_number": "325-653-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S IRENE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036629",
            "telephone_number": "325-658-6571",
            "fax_number": "325-653-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denver C Marsh Jr., MD
• Felix Manuel Marti Rivera, M.D.
• Martin Kulig MD
• Christa D Martin, CNS
• Cynthia E Martin, EIS-FQP
• Jennifer Binswanger Martin
• Kelly Shea Martin, P.T.
• Laci J. Martin, FNP
• Roxandmi Martinez Baez
• Brittany Martinez, PHARMD

• Speech-Language Pathologist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.