Individual
DEIRDRE LEE MARTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA HSP-PA
Contact information
Practice address
10580 LIGON MILL RD, WAKE FOREST, NC 27587-6090
(919) 263-9592
Mailing address
35 WIGEON WAY, YOUNGSVILLE, NC 27596-6503
(717) 725-0343
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6086
NC
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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