| Martin Psychological Services & Consulting, Llc | |
|
2565 Deer Run E Clearwater FL 33761-3902 | |
| (419) 509-9023 | |
| Not Available |
| Full Name | Martin Psychological Services & Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2565 Deer Run E, Clearwater, Florida |
| Authorized Official Name and Position | Sabrina Marie Martin (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7277551851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Psychological Services & Consulting, Llc 2565 Deer Run E Clearwater FL 33761-3902 Ph: (419) 509-9023 | Martin Psychological Services & Consulting, Llc 2565 Deer Run E Clearwater FL 33761-3902 Ph: (419) 509-9023 |
| NPI Number | 1063034395 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 05/08/2020 |
| Certification Date | 05/08/2020 |
| Medicare PECOS PAC ID | 4587086657 |
|---|---|
| Medicare Enrollment ID | O20200617003467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063034395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sabrina M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972976157 PECOS PAC ID: 6305148123 Enrollment ID: I20160111000723 |
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