Dr Maria R Martin, PHD is a
Psychologist - Clinical based in San Dimas, California. Dr Maria R Martin is licensed to practice in California (license number PSY27160) and her current practice location is
100 W Foothill Blvd Ste 104, San Dimas, California. She can be reached at her office (for appointments etc.) via phone at
(909) 519-2662.
NPI number for Dr Maria R Martin is 1487796074 and her current mailing address is 100 W Foothill Blvd Ste 104, San Dimas, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487796074.
Healthcare Provider's Profile
| Full Name | Dr Maria R Martin |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 100 W Foothill Blvd Ste 104, San Dimas, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487796074
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 09/14/2020
Medical Identifiers
Medical identifiers for Dr Maria R Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487796074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | MFC 36100 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY27160 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maria R Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maria R Martin, PHD
100 W Foothill Blvd Ste 104,
San Dimas, CA 91773-1170
Ph: (909) 519-2662 | Dr Maria R Martin, PHD
100 W Foothill Blvd Ste 104,
San Dimas, CA 91773-1170
Ph: (909) 519-2662 |
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