Provider Demographics
NPI:1922990100
Name:MARTINEZ, BRIANA ALYSSA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:ALYSSA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 384394
Mailing Address - Street 2:
Mailing Address - City:FABENS
Mailing Address - State:TX
Mailing Address - Zip Code:79838-4394
Mailing Address - Country:US
Mailing Address - Phone:915-329-1766
Mailing Address - Fax:
Practice Address - Street 1:4250 OSHEA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-8263
Practice Address - Country:US
Practice Address - Phone:915-926-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122353235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist