Individual
MONALIZA GROSS MARTINEZ-LOUZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
101 ILDERTON ST, SUMMERVILLE, SC 29483-8194
(203) 673-9887
Mailing address
101 ILDERTON ST, SUMMERVILLE, SC 29483-8194
(203) 673-9887
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4856
SC
Other
Enumeration date
10/23/2025
Last updated
07/08/2026
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