Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 37344 | TX |
Y | 103TC0700X | Clinical Psychologist | 37344 | TX |
NPI | 1003260423 |
---|---|
Provider Name | Dennette Martinez |
First Address | Houston, TX 77098-3982 |
Second Address | Houston, TX 77098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2016 |
Last Update Date | 04/08/2018 |