Individual
BROOKE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Mailing address
838 N ALFRED ST, LOS ANGELES, CA 90069-4702
(949) 689-4678
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26577
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
09/13/2010
Last updated
12/10/2014
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