Individual
LUDWIG MARCELLO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
WHASC, 1100 WILFORD HALL LOOP, JBSA-LACKLAND, TX 78236-1200
(210) 292-5972
Mailing address
USAFA, 4102 PINION DRIVE, AIR FORCE ACADEMY, CO 80840
(719) 333-5177
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY.0005210
CO
Other
Enumeration date
04/27/2017
Last updated
06/14/2024
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