Individual
CHANIKA NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
641 N WALNUT AVE, NEW BRAUNFELS, TX 78130-7925
(830) 730-6090
Mailing address
641 N WALNUT AVE, NEW BRAUNFELS, TX 78130-7925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36956
TX
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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