Provider Demographics
NPI:1548651276
Name:MARTINEZ, ALAINA B (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALAINA
Middle Name:B
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:ALAINA
Other - Middle Name:JANE
Other - Last Name:BELLANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:238 RUE REECE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-3033
Mailing Address - Country:US
Mailing Address - Phone:985-691-8521
Mailing Address - Fax:
Practice Address - Street 1:179 E 100TH ST
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-3943
Practice Address - Country:US
Practice Address - Phone:985-691-8521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6946235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist