Organization
GLENDA MARTINEZ PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA MARTINEZ PH D PA. (LICENSED PSYCHOLOGIST)
(305) 826-6969
Entity
Organization
Contact information
Practice address
3408 W 84TH ST, SUITE 310, HIALEAH, FL 33018-4939
(305) 826-6969
Mailing address
3408 W 84TH ST STE 310, HIALEAH, FL 33018-4944
(305) 826-6969
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7415
FL
Other
Enumeration date
05/10/2007
Last updated
11/02/2010
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