Organization
LIVWELL PSYCHOLOGY SERVICES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINGER MARTIRE PH.D. (CEO)
(650) 906-9148
Entity
Organization
Contact information
Practice address
13251 PARAMOUNT DR, SARATOGA, CA 95070-4222
(650) 906-9148
(408) 741-1354
Mailing address
PO BOX 897, SARATOGA, CA 95071-0897
(650) 906-9148
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21925
CA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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