Individual
MS. PATRICIA COLLINS MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN MAMFT
Contact information
Practice address
9700 PARK PLAZA AVENUE, SUITE 105, LOUISVILLE, KY 40241
(502) 327-0209
Mailing address
9700 PARK PLAZA AVENUE, SUITE 105, LOUISVILLE, KY 40241
(502) 327-0209
(502) 426-4902
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
KY0530
KY
163W00000X
Registered Nurse
Primary
1051501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051501
KY BOARD OF NURSING
KY
01
—
KY0530
BD OF MARRIAGE,FAM THER.
KY
Enumeration date
02/22/2006
Last updated
09/11/2025
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