Individual
DANIEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MA, PHD
Contact information
Practice address
4510 E PACIFIC COAST HWY, SUITE 210, LONG BEACH, CA 90804-3279
(305) 972-7671
Mailing address
PO BOX 602, BREA, CA 92822-0602
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/24/2010
Last updated
04/09/2017
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