Martinez, Debra A.

Martinez, Debra A. is an individual health care provider with primary practice located at 1615 Mlk Blvd , Malvern AR 72104. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martinez, Debra A. can be contacted via phone (501) 332-5236.

Contact Information

Primary practice address
1615 Mlk Blvd Malvern AR 72104
Phone: (501) 332-5236
Fax: (501) 620-5109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2155-C Arkansas

Profile Details

NPI number 1629255476
LBN Legal business name Martinez, Debra A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jun 14th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629255476 NPPES
Arkansas MEDICAID 170706795

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