Organization
MARTINE FENELON, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINE FENELON PSY.D. (OWNER)
(305) 527-9964
Entity
Organization
Contact information
Practice address
160 NW 176TH ST STE 300, MIAMI GARDENS, FL 33169-5041
(305) 249-2333
Mailing address
160 NW 176TH ST STE 300, MIAMI GARDENS, FL 33169-5041
(305) 249-2333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P9127
FL
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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