Martinez-Fam, Deicy

Martinez-Fam, Deicy is an individual health care provider with primary practice located at 700 Airport Rd , Lakewood NJ 08701-5907. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martinez-Fam, Deicy can be contacted via phone (732) 367-4700.

Contact Information

Primary practice address
700 Airport Rd Lakewood NJ 08701-5907
Fax: (732) 364-2253
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00330300 New Jersey

Profile Details

NPI number 1912093956
LBN Legal business name Martinez-Fam, Deicy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - 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.

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