# AMANDA E. MARTIN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lindale Speech Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659990166
- **Authorized official:** AMANDA E MARTIN M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (936) 637-9195

## Contact information

- **Practice address:** 2808 S MAIN ST STE C, LINDALE, TX 75771-7854
- **Practice address phone:** (936) 637-9195
- **Practice address fax:** (903) 881-6010
- **Mailing address:** 15873 COUNTY ROAD 472, TYLER, TX 75706-4043
- **Mailing address phone:** (936) 637-9195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/14/2020