Individual
DR. JESSICA MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8804 NW 127TH ST, OKLAHOMA CITY, OK 73142-8623
(254) 723-7553
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(254) 723-7553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
101972
IA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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