Dr. Martine Fenelon
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
620 John Paul Jones Cir
Portsmouth
, Virginia 23708-2111
Dr. Martine Fenelon
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
620 John Paul Jones Cir
Portsmouth
, Virginia 23708-2111
(757) 953-5269
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Martine Fenelon
- 620 John Paul Jones Cir
- Portsmouth, VA
- Zip : 23708-2111
- Phone : (757) 953-5269
Second Address
- Dr. Martine Fenelon
- 620 John Paul Jones Cir
- Portsmouth, VA
- Zip : 23708-2111
- Phone : (757) 953-5269
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Is Dr. Martine Fenelon a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103G00000X | Clinical Psychologist | PY9127 | FL |
| Y | 103TC0700X | Clinical Psychologist | PY9127 | FL |
National Provider Identifier
| NPI | 1356743728 |
|---|---|
| Provider Name | Dr. Martine Fenelon |
| First Address | Portsmouth, VA 23708-2111 |
| Second Address | Portsmouth, VA 23708-2111 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2014 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.