Individual
CHRISTA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
29 WEST 36TH ST, SUITE 5-D, NEW YORK, NY 10018
(267) 225-1725
Mailing address
921 PENNSYLVANIA AVE, WESTFIELD, NJ 07090
(267) 225-1725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017904-1
NY
Other
Enumeration date
06/07/2013
Last updated
07/05/2016
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