Individual
DR. MICHELLE MARTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1421 LEXINGTON RD, RICHMOND, KY 40475-1059
(859) 624-2454
(859) 624-2454
Mailing address
1421 LEXINGTON RD, RICHMOND, KY 40475-1059
(859) 624-2454
(859) 624-2454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1133
LA
103TC0700X
Clinical Psychologist
Primary
129941
KY
103TC0700X
Clinical Psychologist
1720
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000920691
ANTHEM PIN
—
Enumeration date
12/23/2014
Last updated
05/26/2016
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