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CHARLENE SAMONE MARTIN M.S. CCC-SLP NPI 1417565532


NPI Information

NPI: 1417565532
Provider Name: CHARLENE SAMONE MARTIN, M.S. CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
103 DUE WEST PASS
DALLAS, GA
ZIP 30157
Phone: (404) 556-7053
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Charlene Samone Martin, M.S. CCC-SLP is a speech language pathologist in Dallas, GA. 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. Charlene Samone Martin, M.S. CCC-SLP NPI is 1417565532. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 DUE WEST PASS
DALLAS, GA
ZIP 30157-545
Phone: (404) 556-7053

The enumeration date for this NPI number is 7/15/2020 and was last updated on 10/20/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSLP007542GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SLP007542OTHERGEORGIASTATE LICENSURE SPEECH LANGUAGE PATHOLOGY
210005249OTHERGEORGIAAMERICAN SPEECH AND HEARING ASSOCIATION
3SLP007542OTHERGEORGIAGEORGIA LICENSING ENTITY

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: 5/5/2024

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