Individual
MR. BENNY RAY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
(805) 468-6011
Mailing address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY22824
CA
103TC0700X
Clinical Psychologist
Primary
PY00003320
WA
Other
Enumeration date
03/12/2007
Last updated
11/08/2023
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