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Individual
DR. ANGEL R MARTINEZ
Active
Individual
DR. ANGEL R MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
503
NH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1958
FL
103TC2200X
Clinical Child & Adolescent Psychologist
503
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003798
—
NH
01
—
313215
AMERIGROUP
FL
Enumeration date
08/29/2006
Last updated
10/30/2007
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