Doctor Name: | MRS. EVA ROSEANNE MARTINEZ-DEVOURSNEY |
NPI Number: | 1376982157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLP, LLPC, CAADC |
License Number: | 6301012846 |
Business Practice Address: | 557 Seminole Rd Norton Shores, MI - 494443719 |
Business Phone Number: | 2317808252 |
Business Fax Number: | |
Mailing Address: | 557 Seminole Rd, NORTON SHORES |
State: | MI |
Postal Code: | 494443719 |
Phone Number: | 2317808252 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2013 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301012846 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |