Martin, Jacqueline Lee

Martin, Jacqueline Lee is an individual health care provider with primary practice located at 21 Autumn St 1St Fl, Boston MA 02215-5317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Martin, Jacqueline Lee can be contacted via phone (339) 927-3274.

Contact Information

Primary practice address
21 Autumn St 1St Fl Boston MA 02215-5317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 8564 Massachusetts

Profile Details

NPI number 1922247527
LBN Legal business name Martin, Jacqueline Lee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Feb 5th, 2009 - about 17 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.

Request for update

Popular Providers