Devan Martin

Individual provider Active NPI Speech-Language Pathologist · Mountain View, MO

NPI 1962038836 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1962038836
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
910 E James St Apt B
Mountain View, MO 65548-7271
Phone
(573) 721-1583
NPI assigned
Mar 22, 2020
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)
Yes

Interoperability endpoints

  • Direct secure messaging: devan.martin.p1@direct.jordanvalley.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MO Yes

Addresses

Primary practice location

910 E James St Apt B
Mountain View, MO 65548-7271

Mailing address

910 E James St Apt B
Mountain View, MO 65548-7271

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Devan.Martin@Aegistherapies.com Aegis Therapies

Other providers in Mountain View, MO

All providers in Mountain View, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.