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Deactivated NPI 1215058169 Deactivated / Inactive NPI Female Practitioner

Marilyn M Martin

Speech-Language Pathologist • State College, PA

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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, Marilyn Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 02, 2007
NPI Deactivation Date January 03, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Marilyn Martin was a registered Speech-Language Pathologist practicing in State College, PA. Throughout an active medical career spanning 13 years, Marilyn Martin provided care at the practice location at 3054 ENTERPRISE DR until profile deactivation on 2020-01-03.

Practice Location & Contact Primary Location

Practice Address

3054 Enterprise Dr

State College, PA 168012755

Telephone 8142346023
Associated Practice Facility / Clinic
🏢 Strawberry Fields, Inc Facility NPI 1386705135

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in State College, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
37 Specialists

Practicing in State College, PA (7216 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License PA SL001642L

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.

Practice Associates & Co-Workers

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

19 Associated Practitioners
Alison Lutz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003109703

MSCCCSLP

Julia Beard

Physical Therapist

NPI 1235257809
Maida Rasmussen

Speech-Language Pathologist

NPI 1275728032
Carla Soares-Goulet , MSC

Occupational Therapist - Pediatrics

NPI 1285853309

Master of Science

Patricia Steider

Speech-Language Pathologist

NPI 1306965694
Kimberly Marsh , PT

Physical Therapist - Pediatrics

NPI 1326027905

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 03, 2020

Record deactivated on January 03, 2020

NPI Profile Active August 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 27, 2008

Registered at 3054 ENTERPRISE DR, STATE COLLEGE, PA 168012755 (Tel: 8142346023)

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Updated Business Mailing Address August 27, 2008

Registered at 3054 ENTERPRISE DR, STATE COLLEGE, PA 168012755 (Tel: 8143555269)

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Provider Name / Credentials Updated August 27, 2008

Recorded as MARILYN MARTIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2008

Speech-Language Pathologist (License #SL001642L in PA)

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Initial NPI Registration & Enumeration April 02, 2007

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: 1215058169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: August 27, 2008
Deactivation Date: January 03, 2020

Mailing Address

3054 Enterprise Dr

State College, PA 168012755

Phone: 8143555269

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

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