MRS. KATELYN VICTORIA MARTINO


Address: 1880 W Oak Pkwy Ste 101, Marietta, GA 30062-2274
Phone: 6783149295

MRS. KATELYN VICTORIA MARTINO (NPI# 1063900710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063900710
Entity Type Individual
Full Name MRS. KATELYN VICTORIA MARTINO
Credential CCC-M.ED. SLP
Practice Address 1880 W Oak Pkwy Ste 101
Marietta
GA 30062-2274
Mailing Address Po Box 1901
Roswell
GA 30077-1901
Practice Telephone 6783149295
Enumeration Date 2018-04-27
Last Update Date 2020-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP010025 GA Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12010 Etris Rd, Roswell, GA 300751421 7709989599

Office Location

Street Address 1880 W OAK PKWY STE 101
City MARIETTA
State GA
Zip Code 30062-2274

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134749336 Simplicity Therapy Group Inc Physical Therapist 1880 W Oak Pkwy Ste 101, Marietta, GA 30062-2274 2020-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619578051 Pamela D Kretzmer Social Worker 3855 Shallowford Road, Suite 420, Marietta, GA 30062 2020-11-03
1932714680 Michelle Chambless Physical Therapist Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 2020-09-10
1700408887 Life University Chiropractor 1323 Roswell Road, Marietta, GA 30062 2020-05-12
1104451160 Sno Healthcare Group Clinic/Center 2424 Roswell Rd Ste 120, Marietta, GA 30062 2020-03-10
1811536212 Sandy Plains Dental Group, PC Dentist 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 2020-01-02
1073159034 Magdala Tulcie Jodesty-jackson Social Worker 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 2019-11-25
1598235178 Matthew Driggers Counselor 4343 Shallowford Rd C2, Marietta, GA 30062 2018-11-27
1750895785 Emily Grace Minday Counselor 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 2017-11-29
1477072122 Jason Lee Amos Speech-Language Pathologist 3660 Chestnut Ridge Court, Marietta, GA 30062 2017-09-13
1346761376 Marian Pomaah Opoku-agyeman Nurse Practitioner 4661 Andrea Pointe, Marietta, GA 30062 2017-06-29
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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. 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720699911 Mebe Georgia, LLC Speech-Language Pathologist 2500 Dallas Hwy Sw Ste 202, Marietta, GA 30064-7505 2020-08-12
1063020006 Rebecca Henning Speech-Language Pathologist 1850 Kerry Creek Dr, Marietta, GA 30066-4365 2020-07-15
1639729882 Bianca Moragne Speech-Language Pathologist 2655 Dallas Hwy Sw Ste 320, Marietta, GA 30064-7518 2019-09-18
1801440581 Jennifer Roberts Speech-Language Pathologist 2602 Chimney Springs Dr, Marietta, GA 30062-6317 2019-07-30
1780248476 Rachael Alsup Burns Speech-Language Pathologist 540 Powder Springs St Ste C20, Marietta, GA 30064-3561 2019-04-28
1932616877 Lauren Ashley Shields Speech-Language Pathologist 2430 Stockton Dr, Marietta, GA 30066-2142 2017-12-31
1477072122 Jason Lee Amos Speech-Language Pathologist 3660 Chestnut Ridge Court, Marietta, GA 30062 2017-09-13
1437676285 Jamie Lynn Burg Speech-Language Pathologist 310 Amanda Ct, Marietta, PA 17547-9216 2017-08-23
1144750357 Jill Marie Cox Speech-Language Pathologist 1425 Fenwick Dr Sw, Marietta, GA 30064-2793 2017-06-20
1861939860 Loraine Judith Williammee Speech-Language Pathologist 1708 Holcomb Lake Rd, Marietta, GA 30062-2092 2017-01-27
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City MARIETTA
Zip Code 30062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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