Individual
JOELLE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
223 E THOUSAND OAKS BLVD STE 100, THOUSAND OAKS, CA 91360-7708
(714) 909-4126
Mailing address
PO BOX 2708, CAMARILLO, CA 93011-2708
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31792
CA
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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