Individual
MS. LORI COX MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
110 E REYNOLDS ST STE 606, PLANT CITY, FL 33563-3370
(813) 707-9661
(813) 764-9363
Mailing address
110 E REYNOLDS ST STE 606, PLANT CITY, FL 33563-3370
(813) 707-9661
(813) 764-9363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SS#0000554
FL
103T00000X
Psychologist
SS#0000554
FL
103TS0200X
School Psychologist
Primary
SS#0000554
FL
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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