Individual
STEPHANIE ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NASP, LEP
Contact information
Practice address
132 CENTRAL ST, FOXBOROUGH, MA 02035-2433
(608) 632-1165
(508) 634-6984
Mailing address
132 CENTRAL ST, FOXBOROUGH, MA 02035-2433
(608) 632-1165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP10000022
MA
222Q00000X
Developmental Therapist
—
MA
Other
Enumeration date
05/13/2018
Last updated
11/09/2023
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