| Doctor Name: | SELMA MARTINEZ |
| NPI Number: | 1538372974 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1021012 |
| Business Practice Address: | 5510 Liam Ct Carpentersville, IL - 601103270 |
| Business Phone Number: | 3129097590 |
| Business Fax Number: | 8889722192 |
| Mailing Address: | 5510 Liam Ct, CARPENTERSVILLE |
| State: | IL |
| Postal Code: | 601103270 |
| Phone Number: | 3129097590 |
| Fax Number: | 8889722192 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1021012 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |