IndividualActive
Katelyn Martino, CCC-M.ED. SLP
NPI 1063900710 · Speech-Language Pathologist · Canton, GA
Provider details
- NPI number
- 1063900710
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-M.ED. SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP010025 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 Academy St Ste 102
Canton, GA 30114-3008
Phone: (404) 444-1521
Street-level locationGet directions
Mailing address
Po Box 1901
Roswell, GA 30077-1901
Additional practice locations (2)
- 1880 W Oak Pkwy Ste 101Marietta, GA 30062-2274Phone: (678) 314-9295
- 12010 Etris RdRoswell, GA 30075-1421Phone: (770) 998-9599
Registry dates
- Enumerated
- 2018-04-27
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.