Healthcare Provider Details

I. General information

NPI: 1184532434
Provider Name (Legal Business Name): ALYAH MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 W HUNTSVILLE AVE
SPRINGDALE AR
72762-7736
US

IV. Provider business mailing address

632 PRIMITIVO AVE
TONTITOWN AR
72762-5466
US

V. Phone/Fax

Practice location:
  • Phone: 479-770-8854
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number203510
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: