Individual
DR. LOLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
JOHN WOODEN CENTER WEST 221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-0768
Mailing address
JOHN WOODEN CENTER WEST 221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32925
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2019
Last updated
12/02/2021
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