Individual
IVORYEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD., ABPP
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-0650
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-1883
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018826
MI
Other
Enumeration date
07/02/2015
Last updated
11/15/2022
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