Individual provider · Type 1 NPI

Shanice Martin, PSYD

Student in an Organized Health Care Education/Training Program · Cambridge, MA

NPI number 1144981838 Active

Practice location

22 Hilliard St
Cambridge, MA 02138-4972

Call (703) 596-5243 Map

Mailing address

4023 Chain Bridge Rd
Fairfax, VA 22030-4108

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0805002752 (VA)

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 1144981838

Shanice Martin, PSYD's National Provider Identifier is 1144981838, issued on Jan 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cambridge, MA. The record was last updated on Jun 28, 2026.