Individual
MICHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4001 RAPHUNE HILL RD, ST THOMAS, VI 00802-2905
(340) 690-5474
Mailing address
7185 ESTATE TUTU, ST THOMAS, VI 00802-1916
(340) 998-3277
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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