Doctor Name: | DONICIA G MARTINEZ |
NPI Number: | 1578871745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3971 S 4000 W West Haven, UT - 844019675 |
Business Phone Number: | 8018147378 |
Business Fax Number: | |
Mailing Address: | 3971 S 4000 W, WEST HAVEN |
State: | UT |
Postal Code: | 844019675 |
Phone Number: | 8018147378 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2010 |
NPI Last Update Date: | 09/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |