Individual
SELYSMARIE MARTINEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
6383
PR
103TC0700X
Clinical Psychologist
Primary
6383
PR
103TC2200X
Clinical Child & Adolescent Psychologist
6383
PR
103TH0004X
Health Psychologist
6383
PR
103TH0100X
Health Service Psychologist
6383
PR
103TP2701X
Group Psychotherapy Psychologist
6383
PR
Other
Enumeration date
01/20/2017
Last updated
05/08/2026
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