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Stacey Marie Martin

NPI 1770863771ActiveIndividual· Speech-Language Pathologist· Lisle, IL

Speech-Language Pathologist in Lisle, Illinois, licensed in IL, with an NPI issued in August 2011.

Overview

NPI1770863771
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedAug 22, 2011
Last updated in NPPESJul 21, 2022
ReactivatedJan 29, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X146011200IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Lisle

All Speech-Language Pathologist providers in Illinois →