Individual
DR. SANDRA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
101 LIVINGSTON LOOP STE C1, SANTA TERESA, NM 88008-9753
(575) 824-9000
(866) 232-9241
Mailing address
PO BOX 1063, SANTA TERESA, NM 88008-1063
(575) 824-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
0059C
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73721760
—
NM
Enumeration date
02/14/2008
Last updated
04/02/2018
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