| Charlene Samone Martin, MS CCC-SLP | |
|
103 Due West Pass, Dallas, GA 30157-2545 | |
| (404) 556-7053 | |
| Not Available |
| Full Name | Charlene Samone Martin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 103 Due West Pass, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417565532 | NPI | - | NPPES |
| SLP007542 | Other | GA | GEORGIA LICENSING ENTITY |
| SLP007542 | Other | GA | STATE LICENSURE SPEECH LANGUAGE PATHOLOGY |
| 10005249 | Other | GA | AMERICAN SPEECH AND HEARING ASSOCIATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP007542 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charlene Samone Martin, MS CCC-SLP 103 Due West Pass, Dallas, GA 30157-2545 Ph: (404) 556-7053 | Charlene Samone Martin, MS CCC-SLP 103 Due West Pass, Dallas, GA 30157-2545 Ph: (404) 556-7053 |
Leah Reilly Nichols, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Road, Dallas, GA 30157 Phone: 770-443-9672 | |
Amy Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 Fax: 770-505-3595 | |
Emily Gantt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 283 Red Hawk Way, Dallas, GA 30132 Phone: 561-801-3148 | |
Mary Kathleen Morris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Andrea Baerwalde, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Garland Rose Ln, Dallas, GA 30157 Phone: 770-380-2067 Fax: 770-974-7631 | |
Clifton Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Jessica Duffey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 |