Provider Demographics
NPI:1558354779
Name:MARTINETTI, HELEN CATHERINE (MA,CCC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:CATHERINE
Last Name:MARTINETTI
Suffix:
Gender:F
Credentials:MA,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 NESCONSET HWY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-2053
Mailing Address - Country:US
Mailing Address - Phone:631-331-1888
Mailing Address - Fax:631-331-4724
Practice Address - Street 1:5225 NESCONSET HWY
Practice Address - Street 2:SUITE 10
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-2053
Practice Address - Country:US
Practice Address - Phone:631-331-1888
Practice Address - Fax:631-331-4724
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM13131OtherEMPIRE BC/BS
NY0096400OtherAETNA/US HEALTHCARE
NY25885OtherUNITED HEALTHCARE
NY0C4526OtherHEALTHNET
NYCS146OtherOXFORD
NY2813OtherVYTRA