Doctor Name: | MS. JANE MARTINEZ |
NPI Number: | 1518350883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSA, LISW |
License Number: | I.1500197 |
Business Practice Address: | 24200 Chagrin Blvd Beachwood, OH - 441225550 |
Business Phone Number: | 2168316466 |
Business Fax Number: | 2167666084 |
Mailing Address: | 24200 Chagrin Blvd, BEACHWOOD |
State: | OH |
Postal Code: | 441225550 |
Phone Number: | 2168316466 |
Fax Number: | 2167666084 |
NPI Enumeration Date: | 03/11/2015 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | I.1500197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |