Dr. Angel R Martinez, Ph.D.
Psychologist, Clinical Child & Adolescent in Largo, FL. Individual provider (NPI-1).
NPI number1053429894
StatusActive
Last updated in NPPESOct 30, 2007
Details
- NPI
- 1053429894
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angel R Martinez
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Last updated
- Oct 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 1958 | FL | Yes |
| 103TC0700X | Psychologist, Clinical | 503 | NH | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 503 | NH |
Practice location
10333 Seminole BlvdSuite # 6
Largo, FL 33778-4210
Phone 727-319-3020 · Fax 727-319-3040
Mailing address
10333 Seminole BlvdLargo, FL 33778-4210
Phone 727-319-3020 · Fax 717-319-3040
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