Individual
DR. SUZANNE GABRIELLE MARTIN
Active
Individual
DR. SUZANNE GABRIELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018539600001
—
PA
Enumeration date
06/23/2006
Last updated
03/08/2012
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