Individual
DR. LYSSETT DENISS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
928 BROADWAY STE 503, NEW YORK, NY 10010-8145
(917) 224-8551
Mailing address
928 BROADWAY STE 503, NEW YORK, NY 10010-8145
(917) 224-8551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
N/A
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2007
Last updated
08/14/2019
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