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SUSANNAH ELIZABETH MARTINEZ MS CCC-SLP NPI 1902979610


NPI Information

NPI: 1902979610
Provider Name: SUSANNAH ELIZABETH MARTINEZ, MS, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
175 UNION ST
BANGOR, ME
ZIP 04401
Phone: (207) 941-2850
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Susannah Elizabeth Martinez, MS, CCC-SLP is a speech language pathologist in Bangor, ME. The provider is 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Susannah Elizabeth Martinez, MS, CCC-SLP NPI is 1902979610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 UNION ST
BANGOR, ME
ZIP 04401-100
Phone: (207) 941-2850
Fax: (208) 941-2852

The enumeration date for this NPI number is 11/17/2006 and was last updated on 11/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSP1776MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1432335699MEDICAIDMAINE
2206504MEDICARE ID-TYPE UNSPECIFIEDMAINEWARREN CENTER FACILITY #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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