Doctor Name: | MS. ANNE MARIE LORETTE MARTINEAU |
NPI Number: | 1043234701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 105503 |
Business Practice Address: | 30 Locust St Northampton, MA - 010602052 |
Business Phone Number: | 4135822510 |
Business Fax Number: | 4135822838 |
Mailing Address: | 60 Pioneer Knls, FLORENCE |
State: | MA |
Postal Code: | 010623409 |
Phone Number: | 4135860092 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 105503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |