Individual
LIZBETH JEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13007 IRON ROCK RD, GRASS VALLEY, CA 95945-9063
(650) 776-4834
Mailing address
13007 IRON ROCK RD, GRASS VALLEY, CA 95945-9063
(650) 776-4834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9559
CA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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