Provider Demographics
NPI:1225397904
Name:MARTINEZ, YVETTE (BS, SLP ASSISTANT)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:BS, SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9020 CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8059
Mailing Address - Country:US
Mailing Address - Phone:956-285-2424
Mailing Address - Fax:956-722-3892
Practice Address - Street 1:619 E CALTON RD # 3
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3689
Practice Address - Country:US
Practice Address - Phone:956-722-3377
Practice Address - Fax:956-722-3892
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX364402355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant