Provider Demographics
NPI:1861771016
Name:MARTENEY, APRIL VICTORIA
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:VICTORIA
Last Name:MARTENEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:STE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:4300 W WACO DR
Practice Address - Street 2:STE A2
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7010
Practice Address - Country:US
Practice Address - Phone:254-399-0405
Practice Address - Fax:254-399-0316
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80391237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530294OtherBCBS
TX112774801Medicaid