Individual
SAMANTHA LAMARTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-3791
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11927
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110194813A
—
MA
Enumeration date
07/17/2019
Last updated
12/15/2023
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