Provider Demographics
NPI:1073826921
Name:GELL, MARTHA D (SLP)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:D
Last Name:GELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:MARTHA
Other - Middle Name:D
Other - Last Name:GELL-MATTHEWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:203 CHRISTIE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-2002
Mailing Address - Country:US
Mailing Address - Phone:917-842-5053
Mailing Address - Fax:
Practice Address - Street 1:463 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-3441
Practice Address - Country:US
Practice Address - Phone:914-375-8906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014285-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist