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Individual

DR. JESSICA LYNN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
10 MAXWELL DR STE 205, CLIFTON PARK, NY 12065-2933
(518) 288-7156
(518) 309-7838
Mailing address
2 RASPBERRY DR, MALTA, NY 12020-3818
(518) 469-8845

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020774-01
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
020774-01
NY
103TB0200X
Cognitive & Behavioral Psychologist
020774-01
NY
103TC1900X
Counseling Psychologist
020774-01
NY
103TE1100X
Exercise & Sports Psychologist
020774-01
NY
103TH0100X
Health Service Psychologist
020774-01
NY
103TP2701X
Group Psychotherapy Psychologist
020774-01
NY

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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