CHARLENE SAMONE MARTIN

Address: 103 Due West Pass, Dallas, GA 30157-2545
Phone: 4045567053

CHARLENE SAMONE MARTIN (NPI# 1417565532) 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) 1417565532
Entity Type Individual
Full Name CHARLENE SAMONE MARTIN
Other Name CHARLENE SAMONE MARTIN
Credential M.S. CCC-SLP
Practice Address 103 Due West Pass
Dallas
GA 30157-2545
Practice Telephone 4045567053
Mailing Telephone 4045567053
Enumeration Date 2020-07-15
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP007542 GA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA STATE LICENSURE SPEECH LANGUAGE PATHOLOGY SLP007542 01
GA AMERICAN SPEECH AND HEARING ASSOCIATION 10005249 01
GA GEORGIA LICENSING ENTITY SLP007542 01

Other Providers CHARLENE MARTIN

NPI Name Taxonomy Address Enumeration
1740469956 Charlene Martin Licensed Practical Nurse 8045 Antoine Dr Ste B, 246, Houston, TX 77088-4345 2007-10-24
1649779364 Charlene Sarah Martin Licensed Vocational Nurse 5362 Lemee Ln, Mariposa, CA 95338-9556 2018-02-08

Office Location

Street Address 103 DUE WEST PASS
City DALLAS
State GA
Zip Code 30157-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114526811 Martin Medical Slp LLC Speech-Language Pathologist 103 Due West Pass, Dallas, GA 30157-2545 2020-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922608629 Harshadbhai Vinubhai Patel Pharmacist 3615 Marietta Highway, Dallas, GA 30157 2020-10-30
1043852627 Lindsay Sheets Dentist 59 Hillside Trce Ste 105, Dallas, GA 30157 2019-10-15
1619459062 Emily Nicole Koopman Specialist/Technologist 399 Powder Creek Way, Dallas, GA 30157 2018-09-02
1073969861 Rachel Spencer Physical Therapist 99 Hillside Trace, Dallas, GA 30157 2016-05-11
1336514827 Petal Shields Community Health Worker 121 Omega Ct, Dallas, GA 30157 2015-12-09
1851797294 Annette Moncion Nurse Practitioner 32 Midland Lane, Dallas, GA 30157 2014-11-12
1003211079 Melissa Brice Lactation Consultant, Non-RN 430 Parson Rd, Dallas, GA 30157 2014-11-03
1104101690 Jared Alan Lott Pharmacist 303 Charlie Watts Blvd, Dallas, GA 30157 2011-10-15
1972888758 Lisa Nicole Mcentire Massage Therapist 119 Fairview Oak Trace, Dallas, GA 30157 2011-10-12
1548570120 Chad Stough Physician Assistant 2713 Marietta Highway, Suite 122, Dallas, GA 30157 2010-10-15
Find all providers in zip 30157

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
1215534086 Anne Cuthbert Patten Speech-Language Pathologist 3532 Routh St, Dallas, TX 75219-4730 2020-10-05
1669079406 Kamryn Kelley Miller Speech-Language Pathologist 10617 Estate Ln, Dallas, TX 75238-2214 2020-10-05
1710505698 Madeline Michele Howell Speech-Language Pathologist 2535 Lone Star Drvie, Dallas, TX 75212 2020-07-08
1073131108 Julia Brooke Kenney Speech-Language Pathologist 3223 Lemmon Ave Apt 5102, Dallas, TX 75204-1877 2020-07-06
1053935924 Sarah Guigneaux Speech-Language Pathologist 6024 Gentle Knoll Ln, Dallas, TX 75248-2123 2020-06-05
1316560402 Shane Mary Thomas Speech-Language Pathologist 17060 Dallas Pkwy Ste 105, Dallas, TX 75248-1905 2020-05-22
1841812518 Alden Caroline Bauman Speech-Language Pathologist 8390 Lyndon B Johnson Fwy Ste 100, Dallas, TX 75243-1215 2020-05-15
1043832835 Kacy Nicole Chapman Speech-Language Pathologist 8390 Lyndon B Johnson Fwy, Dallas, TX 75243-1188 2020-05-14
1437788643 Lourdes Georgina Salinas Speech-Language Pathologist 2473 N Field St Apt 3014, Dallas, TX 75201-8208 2020-04-08
1831728435 Raquel Lynn Dilday Speech-Language Pathologist 5151 Harry Hines Blvd Ste 1.214, Dallas, TX 75235-7707 2020-04-06
Find all providers in DALLAS

Competitor

Search similar providers

City DALLAS
Zip Code 30157

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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.