| Doctor Name: | KATHLEEN MARTENS |
| NPI Number: | 1003910548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 179866 |
| Business Practice Address: | 4720 Rosedale Ave Apt 517 Bethesda, MD - 208143760 |
| Business Phone Number: | 3012950961 |
| Business Fax Number: | |
| Mailing Address: | 10 Tall Tree Dr, BEVERLY |
| State: | MA |
| Postal Code: | 019152012 |
| Phone Number: | 9789797410 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 179866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |