Individual
DR. JENNIFER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4299 MACARTHUR BLVD, SUITE 202, NEWPORT BEACH, CA 92660-2023
(949) 791-7174
Mailing address
4299 MACARTHUR BLVD, SUITE 202, NEWPORT BEACH, CA 92660-2023
(949) 791-7174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 27586
CA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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