Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Samone Martin, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1417565532

Charlene Samone Martin, MSCCC-SLP is a Speech-Language Pathologist in Dallas, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

103 Due West Pass
Dallas, GA 30157-2545
Phone: (404) 556-7053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP007542 (GA)

Record details

NPI number1417565532
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJuly 15, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

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