Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACEY MARIE MARTIN
Deactivated Sole ProprietorMRS. STACEY MARIE MARTIN is a Speech, Language and Hearing Specialist healthcare provider located in LISLE, Illinois. NPI 1770863771 is deactivated in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LISLE, IL
This NPI has been deactivated.
The record was deactivated on July 8, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1770863771
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2011 (2.8767123287671 yrs)
- Last Updated
- Jul 21, 2022
- Deactivated
- Jul 8, 2014
- License
-
146011200 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1736 MIDDLETON AVENUELISLE, IL, 60532Browse IL providers · Browse ZIP 60532
- Phone
- 6304938076
- Fax
- 6309714069
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in LISLE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH JEAN LOGEMAN | M.S. CCC-SLP | 1689784696 |
| RITA A GIUDICE | SPT | 1346367851 |
| CYNTHIA M MITCHELL | CCC SLP | 1770600546 |
| SHANNON BOHNERT | MA, CCC-SLP | 1154527737 |
| AMANDA DEMAS | — | 1013114966 |
| KATHLEEN E BLATTNER | SLP | 1821261074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.