Martha Mackenzie Carlson, Ed. S., CCC-SLP
Speech-Language Pathologist, in Jefferson, GA. Individual provider (NPI-1).
NPI number1922432707
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1922432707
- Entity type
- Individual (NPI-1)
- Name
- Martha Mackenzie Carlson
- Credential
- Ed. S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2013
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP008730 | GA | Yes |
| 235Z00000X | Speech-Language Pathologist, | PCET001953 | GA |
Practice location
1660 Winder HwyJefferson, GA 30549-5458
Phone 706-367-5151
Mailing address
1660 Winder HwyJefferson, GA 30549-5458
Phone 706-367-5151
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- Sarah MasenthinNPI 1255073375
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All 14 Speech-Language Pathologist providers in Jefferson · All 231 providers in Jefferson
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