Individual
BRITA MARTINY-YSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
119 E GOODWIN ST, PRESCOTT, AZ 86303-3940
(928) 899-5521
Mailing address
2150 SANTA FE SPGS, PRESCOTT, AZ 86305-6214
(928) 460-5887
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
# 4730
AZ
103T00000X
Psychologist
PSY12691
CA
103T00000X
Psychologist
PSY1446
HI
103T00000X
Psychologist
PY0681
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4730
ARIZONA PSYCHOLOGY LICENSE
AZ
01
—
PSY12691
PSYCHOLOGY LICENSE
CA
01
—
PSY1446
PSYCHOLOGIST LICENSE
HI
01
—
PY0681
PSYCHOLOGY LICENSES
NV
Enumeration date
01/02/2013
Last updated
01/25/2021
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