Individual
DR. MARTHA DEDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1201 HAYS ST, TALLAHASSEE, FL 32301-2699
(800) 370-3651
(877) 515-7147
Mailing address
PO BOX 562744, ROCKLEDGE, FL 32956-2744
(310) 936-6253
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY18213
CA
103TC0700X
Clinical Psychologist
Primary
PY9747
FL
Other
Enumeration date
08/26/2009
Last updated
10/15/2018
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