Dr. Maria R. Martin, Ph.D
Psychologist, Clinical in San Dimas, CA. Individual provider (NPI-1).
NPI number1487796074
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1487796074
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maria R. Martin
- Credential
- Ph.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2007
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY27160 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | MFC 36100 | CA |
Practice location
100 W Foothill Blvd Ste 104San Dimas, CA 91773-1170
Phone 909-519-2662 · Fax 909-575-4528
Mailing address
100 W Foothill Blvd Ste 104San Dimas, CA 91773-1170
Phone 909-519-2662 · Fax 909-575-4528
Other practice locations
135 S Jackson St Ste 204
Glendale, CA 91205-4918
Glendale, CA 91205-4918
Phone 909-519-2662 · Fax 909-575-4528
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