Individual provider · Type 1 NPI

Martha Lorraine Roberts, MFT/INTERN

Student in an Organized Health Care Education/Training Program · Fremont, CA

NPI number 1093061244 Active

Practice location

39155 Liberty St, Ste E500
Fremont, CA 94538-1513

Call (510) 574-2100 Map

Mailing address

4200 Bay St, Apt 247
Fremont, CA 94538-4235

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093061244

Martha Lorraine Roberts, MFT/INTERN's National Provider Identifier is 1093061244, issued on Jul 25, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fremont, CA. The record was last updated on Jul 25, 2012.