| Amanda Susanne Martinez, MA CCC-SLP | |
|
2020 San Patricio Loop, Las Cruces, NM 88011-4203 | |
| (505) 202-2714 | |
| Not Available |
| Full Name | Amanda Susanne Martinez |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2020 San Patricio Loop, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760512784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3736 (New Mexico) | Primary |
| Provider Name | University Of Arizona |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053509679 PECOS PAC ID: 8123290392 Enrollment ID: O20111012000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Susanne Martinez, MA CCC-SLP 2020 San Patricio Loop, Las Cruces, NM 88011-4203 Ph: (505) 202-2714 | Amanda Susanne Martinez, MA CCC-SLP 2020 San Patricio Loop, Las Cruces, NM 88011-4203 Ph: (505) 202-2714 |
Ms. Anna Maria Benitez Lebron, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Suite B, Las Cruces, NM 88005 Phone: 575-526-6682 Fax: 575-523-7254 | |
Lisseth Carolina Sosa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 249, Las Cruces, NM 88001 Phone: 575-527-5884 Fax: 575-527-5886 | |
Carolina Herrera, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Las Cruces, NM 88005 Phone: 505-523-7243 Fax: 505-523-7254 | |
Ms. Elaine L Detrujillo, MA., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 | |
Lissi Wandemberg Overcast, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7075 Purple Mountain Ave, Las Cruces, NM 88007 Phone: 575-571-0207 | |
Allison Norris, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1681 Hickory Loop, Las Cruces, NM 88005 Phone: 575-647-3773 Fax: 575-647-3777 | |
Ms. Carol Spencer Lobato, MS., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 |