Fenelon, Martine
Fenelon, Martine is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fenelon, Martine can be contacted via phone (757) 953-5269.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (757) 953-5269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY9127 | Florida |
Profile Details
| NPI number | 1356743728 |
|---|---|
| LBN Legal business name | Fenelon, Martine |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2014 |
| Last updated | Sep 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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