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NPI Code Detail

MEDICARE: JENNIFER M MARTIN MATT MS, CCC-SLP

MEDICARE: JENNIFER M MARTIN MATT MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist107087TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11700254653OTHERTXGROUP NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730434234
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M MARTIN MATT MS, CCC-SLP
Provider Business Mailing Address
First Line : 2180 NORTH LOOP W STE 160
Second Line :
City : HOUSTON
State : TX
Zip : 77018-8001
Country : US
Telephone Number : 281-684-1818
Fax Number : 832-200-2266
Provider Business Practice Location Address
First Line : 2180 NORTH LOOP W STE 160
Second Line :
City : HOUSTON
State : TX
Zip : 77018-8001
Country : US
Telephone Number : 832-831-0043
Fax Number : 832-200-2266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2012
Last Update Date : 12/16/2025

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Directions to “ JENNIFER M MARTIN MATT MS, CCC-SLP” Practice Location

Language Start Address Practice Location
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