Individual
DR. JESSICA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
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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