Individual
DR. MARGARET F. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
769 W BLAINE ST, RIVERSIDE, CA 92507-3970
(951) 358-4523
Mailing address
15137 LIGHTHOUSE LN, LAKE ELSINORE, CA 92530-5680
(951) 378-5285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 11799
CA
103TC0700X
Clinical Psychologist
PSY11799
CA
1041C0700X
Clinical Social Worker
LCS 10822
CA
106H00000X
Marriage & Family Therapist
MFT9398
CA
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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