Individual provider · Type 1 NPI
Susana Martinez, PSYD
Mental Health Counselor · La Jolla, CA
NPI number
1255730230
Active
Practice location
9500 Gilman Dr
La Jolla, CA 92093-5004
Mailing address
4631 Mount Forde Ave
San Diego, CA 92117-4720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1255730230
Susana Martinez, PSYD's National Provider Identifier is 1255730230, issued on Aug 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Jolla, CA. The record was last updated on Aug 15, 2014.