Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryann Laethem Martin, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1184248460

Maryann Laethem Martin, MA, CCC-SLP is a Qualified Speech Language Pathologist in Dallas, Texas. Qualified in 1984, 42 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
42
Licensed in
TX
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

8390 Lyndon B Johnson Fwy Ste 1000
Dallas, TX 75243-1288
Phone: (214) 750-9977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 13578 (TX)

Record details

NPI number1184248460
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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