Individual
JEFFREY MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(757) 932-7535
(703) 787-8210
Mailing address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(757) 932-7535
(703) 787-8210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
05063
MD
103TC0700X
Clinical Psychologist
Primary
0810007363
VA
Other
Enumeration date
03/02/2012
Last updated
02/23/2021
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