Provider Demographics
NPI:1043717796
Name:MARTINEZ-TORRES, KEYSHA AYRIAM (PHD, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KEYSHA
Middle Name:AYRIAM
Last Name:MARTINEZ-TORRES
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CHAMBERLIN ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4815
Mailing Address - Country:US
Mailing Address - Phone:615-910-6776
Mailing Address - Fax:
Practice Address - Street 1:326 CHAMBERLIN ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4815
Practice Address - Country:US
Practice Address - Phone:876-468-9817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist