Martin, Jennie

Martin, Jennie is an individual health care provider with primary practice located at Colony Dr , San Luis Obispo CA 93409-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Jennie can be contacted via phone (805) 547-7900.

Contact Information

Primary practice address
Colony Dr San Luis Obispo CA 93409-0001
Phone: (805) 547-7900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY27763 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY27763 California

Profile Details

NPI number 1972911162
LBN Legal business name Martin, Jennie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated Mar 23rd, 2024 - about last year

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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