Organization
MARTINICH ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MARTINICH (CEO)
(719) 339-9537
Entity
Organization
Contact information
Practice address
5825 DELMONICO DR STE 105, COLORADO SPRINGS, CO 80919-2243
(719) 339-9537
Mailing address
5825 DELMONICO DR STE 105, COLORADO SPRINGS, CO 80919-2243
(719) 339-9537
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000169389
—
CO
Enumeration date
03/27/2019
Last updated
01/16/2026
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