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Suzanne Gordon Martin, MS, CCC-SLP

NPI 1275012718ActiveIndividual· Speech-Language Pathologist· Sandy, UT

Speech-Language Pathologist (MS, CCC-SLP) in Sandy, Utah, licensed in UT, with an NPI issued in August 2018. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1275012718
StatusActive
Entity typeIndividual
CredentialMS, CCC-SLP
Sole proprietorYes
NPI issuedAug 7, 2018
Last updated in NPPESNov 23, 2021
Certified by providerNov 23, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X293568-4102UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (UT)

Medicare sources and data years

Other Speech-Language Pathologist providers in Sandy

All Speech-Language Pathologist providers in Utah →