Provider Demographics
NPI:1053868604
Name:MARTIN, DELPHINE (LPC)
Entity Type:Individual
Prefix:
First Name:DELPHINE
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 LITITZ PIKE # 1047
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6507
Mailing Address - Country:US
Mailing Address - Phone:717-690-0362
Mailing Address - Fax:717-406-1938
Practice Address - Street 1:917 COLUMBIA AVE STE 245
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3159
Practice Address - Country:US
Practice Address - Phone:717-690-0362
Practice Address - Fax:717-406-1938
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010222101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor