Individual
GEORGE MARIO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFED PSYCHOLOGIC
Contact information
Practice address
401 BOGLE ST, SUITE 102, SOMERSET, KY 42503-3823
(606) 676-0638
(606) 679-1889
Mailing address
401 BOGLE ST, SUITE 102, SOMERSET, KY 42503-3823
(606) 676-0638
(606) 679-1889
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0186
KY
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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