Individual
DR. ADA PONPIPOM MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
122 E FIFTH ST, MEDIA, PA 19063-3011
(610) 698-5161
Mailing address
122 E FIFTH ST, MEDIA, PA 19063-3011
(610) 698-5161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-008875L
PA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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