Individual
DR. NICOLE G MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., MBA
Contact information
Practice address
147 UNION AVE, SUITE 202, MANASQUAN, NJ 08736-3648
(732) 962-3594
Mailing address
147 UNION AVE, SUITE 202, MANASQUAN, NJ 08736-3648
(732) 962-3594
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4906
NJ
103TC0700X
Clinical Psychologist
PS016061
PA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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