Lynann Marie Materna

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPL1364 Issued in AZ

Practice address

1450 W Prince Rd
Tucson, AZ 85705-3014

Phone

(520) 696-8856

Fax

(520) 690-2405

NPI assigned

Oct 16, 2006

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

Other identifiers 1

Other names 1

• Lyn Marie Materna Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992885974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 E BABBLING BROOK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126634",
            "telephone_number": "520-320-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053014",
            "telephone_number": "520-696-8856",
            "fax_number": "520-690-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERNA",
        "first_name": "LYNANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL1364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567414",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYN",
            "last_name": "MATERNA",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Chan Matchett, DNP-FNP
• Cristina Irene Matei, M.D.
• Priscila G Matei, LPC
• Kristine Mateos
• Christine Michelle Matera, CPM, LM
• Mary Mathein, LMT
• Celeste Christine Mathie, MS, BCBA, LBA
• Gloria Constance Mathiesen, LPC
• Kristin Mathieu, LMSW
• Melissa Evette Mathis, LMSW

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.