Individual
ABIGAIL MARIKO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
801 ALBANY ST, FL G, BOSTON, MA 02119-3553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11928
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
09/17/2020
Last updated
10/20/2022
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