Individual
DR. LINDSAY NICOLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
190 BEECH STREET, SUITE 102, GATE CITY, VA 24251-3600
(276) 386-3803
(276) 386-2116
Mailing address
508 E. UNAKA AVENUE, JOHNSON CITY, TN 37601
(276) 328-8012
(276) 386-2116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
081005796
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2012
Last updated
04/05/2023
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