Doctor Name: | VIVIAN MARTORELL |
NPI Number: | 1477746766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MH 12150 |
Business Practice Address: | 215 Lakeview Dr Apt. 102 Weston, FL - 333261035 |
Business Phone Number: | 4076174049 |
Business Fax Number: | |
Mailing Address: | 215 Lakeview Dr Apt 102, WESTON |
State: | FL |
Postal Code: | 333261046 |
Phone Number: | 4076174049 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 02/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH 12150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |