Provider Demographics
NPI:1043351877
Name:MARTINEZ, DELMY CAROLINA (LMFT 48977)
Entity Type:Individual
Prefix:
First Name:DELMY
Middle Name:CAROLINA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LMFT 48977
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6714 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-4461
Mailing Address - Country:US
Mailing Address - Phone:626-744-5230
Mailing Address - Fax:626-744-5242
Practice Address - Street 1:PO BOX 9131
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305
Practice Address - Country:US
Practice Address - Phone:323-798-7413
Practice Address - Fax:833-419-0181
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT48977106H00000X
CAIMF 51072225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty