Individual ProviderAlysha Yasmine MartinezSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address12900 Dessau Rd Ste A, Austin, TX 78754-1804(512) 594-6200PECOS EnrollmentBased on the most recent information from CMS, provider Alysha Yasmine Martinez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1558078782Provider TypeIndividualFull NameMartinez, Alysha YasmineCredentialM.S., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date10/27/2022Last Updated10/27/2022Contact InformationPractice LocationPractice Address12900 Dessau Rd Ste A, Austin, TX 78754-1804Phone(512) 594-6200FaxUnlisted FaxMailing LocationMailing Address12900-A Dessau Rd, Austin, TX 78754Phone(512) 594-6200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense118644Texas