Individual
DR. YVONNE MARTINEZ THORNE
Active
Individual
DR. YVONNE MARTINEZ THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016085
PA
103TC0700X
Clinical Psychologist
PS016085
PA
103TC1900X
Counseling Psychologist
Primary
PS016085
PA
103TF0000X
Family Psychologist
PS016085
PA
103TP2701X
Group Psychotherapy Psychologist
PS016085
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498389501
—
MO
Enumeration date
11/01/2006
Last updated
02/14/2012
Update your record
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