Stacey Marie Martin
Speech-Language Pathologist • Lisle, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacey Martin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Stacey Martin was a registered Speech-Language Pathologist practicing in Lisle, IL. Throughout an active medical career spanning 3 years, Stacey Martin provided care at the practice location at 1736 MIDDLETON AVENUE until profile deactivation on 2014-07-08.
Practice Location & Contact Primary Location
1736 Middleton Avenue
Lisle, IL 60532
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Lisle, IL
Practicing in Lisle, IL (10321 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Speech-Language Pathologist (License #146011200 in IL)
Registered at 1736 MIDDLETON AVENUE, LISLE, IL 60532 (Tel: 6304938076)
Registered at 1736 MIDDLETON AVENUE, LISLE, IL 60532 (Tel: 6304938076)
Recorded as STACEY MARTIN
Specialist/Technologist (License #242.001933 in IL)
Record officially reactivated for active practice on January 29, 2018
Record deactivated on July 08, 2014
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1736 Middleton Avenue
Lisle, IL 60532
Phone: 6304938076
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