Jordan Martin, | |
6600 Bruceville Rd, Sacramento, CA 95823-4671 | |
(843) 425-7902 | |
Not Available |
Full Name | Jordan Martin |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 6600 Bruceville Rd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437805231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6142 (South Carolina) | Secondary |
235Z00000X | Speech-language Pathologist | 11316 (Maryland) | Primary |
Provider Name | Fox Rehab Slp Md Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306184924 PECOS PAC ID: 4183864226 Enrollment ID: O20130807000581 |
Mailing Address | Practice Location Address |
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Jordan Martin, 112 Jean Dr, Eutawville, SC 29048-9089 Ph: () - | Jordan Martin, 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: (843) 425-7902 |
Anne Seton Thompson, S.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1625 Stockton Blvd, Suite 103, Sacramento, CA 95816 Phone: 916-478-6570 Fax: 916-478-6575 | |
Lee Anne Tacher, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1610 Arden Way Ste 195, Sacramento, CA 95815 Phone: 888-556-5096 Fax: 916-649-1705 | |
Pauline Nash, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Gelato St, Sacramento, CA 95838 Phone: 916-284-7199 Fax: 916-922-7199 | |
Ms. Alyna Kealani Kanae, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Jessie Ave, Sacramento, CA 95838 Phone: 916-922-7177 | |
Suzanne Alison Yadao, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4101 Los Coches Way, Sacramento, CA 95864 Phone: 916-761-9826 | |
Ms. Jeri Sue Krebs, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 Jessie Ave, Sacramento, CA 95838 Phone: 916-922-8855 | |
Mrs. Sheila L Majesky, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2315 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3147 Fax: 916-454-2703 |