Individual
MS. MARTINA ANN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4700 SPRING ST STE 204, #204, LA MESA, CA 91941-5273
(619) 583-0747
(619) 583-2729
Mailing address
4700 SPRING ST #204, LA MESA, CA 91942-5273
(619) 583-0747
(619) 583-2729
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY18345
CA
Other
Enumeration date
09/14/2005
Last updated
11/11/2008
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