Individual
SAMANTHA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MA, PHD
Contact information
Practice address
6060 PIEDMONT ROW DR S STE 120, CHARLOTTE, NC 28287-2801
(704) 552-0116
Mailing address
6060 PIEDMONT ROW DR S STE 120, CHARLOTTE, NC 28287-2801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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