Provider Demographics
NPI:1295205789
Name:MARTENS, BRITTANY LYNN
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:MARTENS
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 1:5931 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-1957
Mailing Address - Country:US
Mailing Address - Phone:708-687-4763
Mailing Address - Fax:
Practice Address - Street 1:5931 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-1957
Practice Address - Country:US
Practice Address - Phone:708-687-4763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist