Doctor Name: | DR. GILBERT MARTINEZ |
NPI Number: | 1407971138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 30743 |
Business Practice Address: | 4242 Medical Dr Suite 6250 San Antonio, TX - 782295640 |
Business Phone Number: | 2106143011 |
Business Fax Number: | 2106156906 |
Mailing Address: | 16014 Via Shavano, SAN ANTONIO |
State: | TX |
Postal Code: | 782492364 |
Phone Number: | 2106143011 |
Fax Number: | 2106156906 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 30743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |