Individual
JACALYN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
126 W D ST STE 100C, PUEBLO, CO 81003-4430
(719) 621-1182
(719) 931-5601
Mailing address
140 W 29TH ST # 254, PUEBLO, CO 81008-1002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002375
CO
Other
Enumeration date
06/06/2020
Last updated
04/09/2026
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