Doctor Name: | MS. MARY J. MARTIN |
NPI Number: | 1619283330 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH8922 |
Business Practice Address: | 1101 S. Belcher Rd Suite E Largo, FL - 33771 |
Business Phone Number: | 7272158809 |
Business Fax Number: | 7275241332 |
Mailing Address: | 1101 S. Belcher Rd, Suite E LARGO |
State: | FL |
Postal Code: | 33771 |
Phone Number: | 7272158809 |
Fax Number: | 7275241332 |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH8922 |
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 |