Individual
SAHARAY ELIZABETH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
26 ZENITH LOOP, NEWPORT NEWS, VA 23601-1270
(757) 206-6843
Mailing address
26 ZENITH LOOP, NEWPORT NEWS, VA 23601-1270
(757) 206-6843
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A61721228
DRIVER'S LICNESE
VA
Enumeration date
08/17/2020
Last updated
08/17/2020
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