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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SLP010025 | GA | Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12010 Etris Rd, Roswell, GA 300751421 | 7709989599 |
Street Address |
1880 W OAK PKWY STE 101 |
City | MARIETTA |
State | GA |
Zip Code | 30062-2274 |
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 |
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 |
Find all providers in zip 30062 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
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. |
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 |
Find all providers in MARIETTA |
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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.