Individual
TYKEQA MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 MIAMI AVE, COLUMBUS, OH 43203-1513
(614) 973-2970
Mailing address
700 BRYDEN RD STE 561, COLUMBUS, OH 43215-4839
(614) 973-2970
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
85-2853696
OH
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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