Individual
MICHELLE D. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 95TH ST, BROOKLYN, NY 11209-7404
(917) 405-6298
Mailing address
229 CENTRAL PARK N APT 2B, NEW YORK, NY 10026-4172
(917) 405-6298
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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