| Glenda Martinez Phd Pa | |
|
3408 W 84th St Suite 310 Hialeah FL 33018-4939 | |
| (305) 826-6969 | |
| Not Available |
| Full Name | Glenda Martinez Phd Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3408 W 84th St, Hialeah, Florida |
| Authorized Official Name and Position | Glenda Martinez (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3058266969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenda Martinez Phd Pa 3408 W 84th St Ste 310 Hialeah FL 33018-4944 Ph: (305) 826-6969 | Glenda Martinez Phd Pa 3408 W 84th St Suite 310 Hialeah FL 33018-4939 Ph: (305) 826-6969 |
| NPI Number | 1922212612 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 11/02/2010 |
| Medicare PECOS PAC ID | 7517066020 |
|---|---|
| Medicare Enrollment ID | O20070625000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922212612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY7415 (Florida) | Primary |
| Provider Name | Glenda Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366507980 PECOS PAC ID: 4981703493 Enrollment ID: I20070625000527 |
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