| Martine Fenelon, Psyd, Llc | |
|
160 Nw 176th St Ste 300 Miami Gardens FL 33169-5041 | |
| (305) 249-2333 | |
| Not Available |
| Full Name | Martine Fenelon, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 160 Nw 176th St Ste 300, Miami Gardens, Florida |
| Authorized Official Name and Position | Martine Fenelon (OWNER) |
| Authorized Official Contact | 3055279964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martine Fenelon, Psyd, Llc 160 Nw 176th St Ste 300 Miami Gardens FL 33169-5041 Ph: (305) 249-2333 | Martine Fenelon, Psyd, Llc 160 Nw 176th St Ste 300 Miami Gardens FL 33169-5041 Ph: (305) 249-2333 |
| NPI Number | 1508371634 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508371634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P9127 (Florida) | Primary |
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