Theresa Marie Martin-Krueger, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7553 Issued in OH

Practice address

390 Fair St
Berea, OH 44017-2308

Phone

(216) 898-8300

NPI assigned

Jun 2, 2015

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1891175204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23362 CEDAR POINT RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441421023",
            "telephone_number": "440-476-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 FAIR ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172308",
            "telephone_number": "216-898-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-KRUEGER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Glassman Inc
• Michael Marce, RN
• Elizabeth Marconi, LSW
• Joyce M. Marks, C.O.T.A.
• Bonnie A Marron, M.ED, LPPC-S
• Chiane R Martin, QMHSBA CMS BA
• Anna M Martonchik, LISW
• Jennifer Ashley McCafferty
• John Maxwell McCarty
• Robin Lynn McClanahan, RN

• Speech-Language Pathologist in Berea, OH
• Providers in Berea, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.