Individual provider · Type 1 NPI
Tykeqa Michelle Martin
Health Service Psychologist · Columbus, OH
Practice location
285 Miami Ave
Columbus, OH 43203-1513
Mailing address
700 Bryden Rd Ste 561
Columbus, OH 43215-4839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 85-2853696 (OH) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1831791789
Tykeqa Michelle Martin's National Provider Identifier is 1831791789, issued on Nov 14, 2020. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Columbus, OH. The record was last updated on Nov 14, 2020.