Individual
MS. AMY T MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 204-5080
Mailing address
8250 N GRAND CANYON DR UNIT 2167, LAS VEGAS, NV 89166-3745
(702) 204-5080
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI0395
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/13/2012
Last updated
12/17/2012
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