Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063900710 Individual Practitioner Female Practitioner

Katelyn Victoria Martino , CCC-MED SLP

Speech-Language Pathologist • Canton, GA

Professional Overview & Biography Verified Profile Summary

Katelyn Martino, CCC-MED SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Canton, GA. Practice services are available at 115 ACADEMY ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 Academy St Ste 102

Canton, GA 301143008

Telephone 4044441521
Associated Practice Facility / Clinic
🏢 Simplicity Therapy Group Inc Facility NPI 1134749336

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
41 Specialists

Practicing in Canton, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP010025

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

1880 W Oak Pkwy Ste 101

Marietta, GA 300622274

Phone: 6783149295

12010 Etris Rd

Roswell, GA 300751421

Phone: 7709989599

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Aspen Rich , OTD

Occupational Therapist

NPI 1023938255

Doctor of Occupational Therapy

Raeannah Hutson , CCC-SLP

Speech-Language Pathologist

NPI 1376378885

Speech-Language Pathologist (Certificate of Clinical Competence)

Greta Fishback , MS, CCC-SLP

Speech-Language Pathologist

NPI 1457949422

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Brooke Apple

Speech-Language Pathologist

NPI 1770427460
Amy Laviola , MED

Speech-Language Pathologist

NPI 1891065397

Master of Education

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 10, 2021

Registered at 115 ACADEMY ST STE 102, CANTON, GA 301143008 (Tel: 4044441521)

📍
Updated Practice Location January 07, 2021

Registered at 12010 ETRIS RD, ROSWELL, GA 300751421 (Tel: 7709989599)

📍
Updated Practice Location May 05, 2020

Registered at 1880 W OAK PKWY STE 101, MARIETTA, GA 300622274 (Tel: 6783149295)

📍
Updated Business Mailing Address May 05, 2020

Registered at PO BOX 1901, ROSWELL, GA 300771901

NPI Profile Active April 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2018

Registered at 12010 ETRIS RD, ROSWELL, GA 300751421 (Tel: 7709989599)

📍
Updated Business Mailing Address April 27, 2018

Registered at 12010 ETRIS RD, ROSWELL, GA 300751421

👤
Provider Name / Credentials Updated April 27, 2018

Recorded as KATELYN MARTINO, CCC-M.ED. SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Speech-Language Pathologist (License #SLP010025 in GA)

🟢
Initial NPI Registration & Enumeration April 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063900710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2018
Last Update: August 10, 2021
Sole Proprietor: No

Mailing Address

Po Box 1901

Roswell, GA 300771901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.