Healthcare Provider Details

I. General information

NPI: 1386562437
Provider Name (Legal Business Name): JOSELYN MARTINEZ ASSISTANT SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 JAIME ZAPATA MEMORIAL HWY STE 7
LAREDO TX
78043-4769
US

IV. Provider business mailing address

3507 JAIME ZAPATA MEMORIAL HWY STE 7
LAREDO TX
78043-4769
US

V. Phone/Fax

Practice location:
  • Phone: 956-753-5600
  • Fax:
Mailing address:
  • Phone: 956-753-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number45085
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: