Individual
DR. RAQUEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
782 WEATHERLY DR, CLARKSVILLE, TN 37043-8941
(610) 609-6137
Mailing address
12313 MONTHAVEN PARK PL, HENDERSONVILLE, TN 37075-7074
(610) 609-6137
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06494
MD
Other
Enumeration date
09/10/2019
Last updated
11/16/2020
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