Dr. Martha Dedricks, PsyD
Psychologist, Clinical in Tallahassee, FL. Individual provider (NPI-1).
NPI number1144453036
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1144453036
- Entity type
- Individual (NPI-1)
- Name
- Dr. Martha Dedricks
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2009
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY9747 | FL | Yes |
| 103TC0700X | Psychologist, Clinical | PSY18213 | CA |
Practice location
1201 Hays StTallahassee, FL 32301-2699
Phone 800-370-3651 · Fax 877-515-7147
Mailing address
Po Box 562744Rockledge, FL 32956-2744
Phone 310-936-6253
Other practice locations
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