MEDICARE: DR. MELODY S. MARTIN PH.D., AU.D., CCC-SP

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
1	231H00000X	Audiologist	50259	TX
2	235Z00000X	Speech-Language Pathologist	10287	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689677734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELODY S. MARTIN PH.D., AU.D., CCC-SP

Provider Business Mailing Address
First Line	:	4720 W WACO DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-7016
Country	:	US
Telephone Number	:	254-732-9741
Fax Number	:	254-732-9745

Provider Business Practice Location Address
First Line	:	1227 N VALLEY MILLS DR STE 202
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-4447
Country	:	US
Telephone Number	:	254-732-9741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/17/2025

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Directions to “ DR. MELODY S. MARTIN PH.D., AU.D., CCC-SP” Practice Location

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