Wallenberg, Martine Rose

Wallenberg, Martine Rose is an sole proprietor health care provider with primary practice located at 2400 S Ridgewood Ave , South Daytona FL 32119-3097. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallenberg, Martine Rose can be contacted via phone (386) 631-8270.

Contact Information

Primary practice address
2400 S Ridgewood Ave South Daytona FL 32119-3097
Phone: (386) 631-8270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH15151 Florida

Profile Details

NPI number 1184270621
LBN Legal business name Wallenberg, Martine Rose
Credentials MS, ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2019
Last updated Nov 27th, 2023 - 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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