Provider Demographics
NPI:1275215626
Name:MARTINEZ, AMY LYN
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22227 WELLER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1460
Mailing Address - Country:US
Mailing Address - Phone:832-531-3992
Mailing Address - Fax:
Practice Address - Street 1:13801 SCHROEDER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3628
Practice Address - Country:US
Practice Address - Phone:281-897-4523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist