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Individual

LISA J MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1014 E CLIFTON ST, TAMPA, FL 33604-6808
(917) 328-9311
Mailing address
1014 E CLIFTON ST, TAMPA, FL 33604-6808

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020880
NY
103TC0700X
Clinical Psychologist
10696
FL

Other

Enumeration date
09/25/2011
Last updated
10/01/2024
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