Provider Demographics
NPI:1225299258
Name:ROXANNE MARTINS
Entity Type:Organization
Organization Name:ROXANNE MARTINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-324-1006
Mailing Address - Street 1:126 PRESIDENT AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2649
Mailing Address - Country:US
Mailing Address - Phone:508-324-1006
Mailing Address - Fax:508-324-1006
Practice Address - Street 1:126 PRESIDENT AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2649
Practice Address - Country:US
Practice Address - Phone:508-324-1006
Practice Address - Fax:508-324-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5976251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health