Susan C. Martin in Flagstaff - Speech-language Pathologist
Susan C. Martin - NPI 1790836963
Susan C. Martin is a Speech-language Pathologist in Flagstaff, Arizona. Susan C. Martin practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susan C. Martin is 1790836963. The last update date is 2020-07-07.
Susan C. Martin's current location address is 2915 North 4th Street, Flagstaff, Arizona. You can contact this provider via phone number 9287791679 and fax number 9287792822. The mailing address for Susan C. Martin is 2915 North 4th Street, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan C. Martin |
|---|---|
| Address | 2915 North 4th Street, Flagstaff, Arizona |
| Phone Number | 9287791679 |
| Fax Number | 9287792822 |
| Sole Proprietor | N |
| Credentials | MA CCC-SLP |
NPI Number Detail
| NPI Number | 1790836963 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2020-07-07 |
Provider Mailing Address Detail
| Address | 2915 North 4th Street |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 86004 |
| Phone Number | 9287791679 |
| Fax Number | 9287792822 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP1286 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 716126 | ASHA ID # | ||
| 535362 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan C. Martin by the Centers for Medicare & Medicaid Services?
The Susan C. Martin has been assigned the NPI (National Provider Identifier) 1790836963. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan C. Martin is located?
The Susan C. Martin is situated at the following address: 2915 North 4Th Street, Flagstaff, AZ, 86004.
What is the area of specialization for Susan C. Martin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan C. Martin is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
On what date did the Susan C. Martin receive its 1790836963 assignment from the Centers for Medicare & Medicaid Services?
The Susan C. Martin was assigned its 1790836963 by the Centers for Medicare & Medicaid Services on 2007-01-15.
As of what date was the information regarding Susan C. Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan C. Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-07-07.