Individual
KELLY MARTINCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10701 EAST BLVD # 116W, CLEVELAND, OH 44106-1702
(419) 271-0777
Mailing address
LOUIS STOKES CLEVELAND VAMC, 10701 EAST BLVD, 116W, CLEVELAND, OH 44106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07596
OH
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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