Individual
DR. VICKI L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 CITY AVE STE 111-112, PHILADELPHIA, PA 19131-2908
(267) 275-0764
(267) 275-0764
Mailing address
3900 CITY AVE STE 111-112, PHILADELPHIA, PA 19131-2908
(267) 275-0764
(267) 275-0764
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD047459L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD047459L
PA
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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