Doctor Name: | DR. YVONNE MARTINEZ THORNE |
NPI Number: | 1053498386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | PS016085 |
Business Practice Address: | 34 E Germantown Pike # 183 East Norriton, PA - 194011512 |
Business Phone Number: | 6103044782 |
Business Fax Number: | 4842318304 |
Mailing Address: | 8627 Germantown Ave, PHILADELPHIA |
State: | PA |
Postal Code: | 191182839 |
Phone Number: | 6103044782 |
Fax Number: | 4842318304 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS016085 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |