Organization
LINDA MARTIN,PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA MARTIN (PSYCHOLOGIST)
(321) 433-1466
Entity
Organization
Contact information
Practice address
317 RIVEREDGE BLVD, STE. 104, COCOA, FL 32922-7988
(321) 433-1466
Mailing address
317 RIVEREDGE BLVD, STE. 104, COCOA, FL 32922-7988
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PY3875
FL
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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