Jennifer Dianne Martinez, | |
1303 San Carlos Ave, San Carlos, CA 94070-2317 | |
(650) 769-4296 | |
Not Available |
Full Name | Jennifer Dianne Martinez |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1303 San Carlos Ave, San Carlos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013663673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 144110 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Dianne Martinez, 1303 San Carlos Ave, San Carlos, CA 94070-2317 Ph: () - | Jennifer Dianne Martinez, 1303 San Carlos Ave, San Carlos, CA 94070-2317 Ph: (650) 769-4296 |
Amy Hublou, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 961 Laurel St, 206, San Carlos, CA 94070 Phone: 650-218-2222 | |
Stephanie Rudolph, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1161 Cherry St Ste P, San Carlos, CA 94070 Phone: 650-281-6452 Fax: 650-591-6816 | |
Ms. Elizabeth Anne Nielsen, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 957 Industrial Rd Ste B, San Carlos, CA 94070 Phone: 415-375-7581 Fax: 650-620-9549 | |
Ms. Grace Christine Casson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 Elm St Ste 212, San Carlos, CA 94070 Phone: 650-591-9623 | |
Miss Heather L Womack, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1313 Laurel St, Suite 212, San Carlos, CA 94070 Phone: 310-562-2332 | |
Paul Wright, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 809 Laurel Street #20, San Carlos, CA 94070 Phone: 408-596-9136 |