Individual
DR. ALICE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1705 NW 6TH ST, GAINESVILLE, FL 32609
(352) 378-4848
(352) 378-5166
Mailing address
1705 NW 6TH ST, GAINESVILLE, FL 32609
(352) 378-4848
(352) 378-5166
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z1604
BLUE CROSS
FL
Enumeration date
05/22/2007
Last updated
07/08/2007
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