Individual
DR. KATY MARTIN-FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-6099
Mailing address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(367) 166-0993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
6237
NC
Other
Enumeration date
05/17/2019
Last updated
10/18/2022
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