Carla Martin, MS-SLP/CF
Individual provider Active NPI Speech-Language Pathologist · Moriarty, NM
NPI 1912178005 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1912178005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- C-4285 (NM)
- Practice address
- 200 Center St
Moriarty, NM 87035 - Phone
- (505) 832-5817
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| C-4285 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty Municipal School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | C-4285 | NM | Yes |
Addresses
Primary practice location
200 Center St
Moriarty, NM 87035
Mailing address
PO Box 2000
Moriarty, NM 87035-2000
Phone (505) 832-5817
Other providers in Moriarty, NM
- Sara Lombardi
- Sarah Jill Lyon
- Angela Mabry
- Christina Magnuson
- Gregory J Maroney
- Pamela C Martin
- Melissa Jean Martinez
- Sharon McBride
- Mind-Body Therapeutics
- Mailin Miranda
All providers in Moriarty, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. 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.