Provider Demographics
NPI:1275073470
Name:MARTINUS, PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:MARTINUS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:LOCKWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:93932-0247
Mailing Address - Country:US
Mailing Address - Phone:650-276-0423
Mailing Address - Fax:
Practice Address - Street 1:49000 MARTINEZ RD.
Practice Address - Street 2:
Practice Address - City:LOCKWOOD
Practice Address - State:CA
Practice Address - Zip Code:93932
Practice Address - Country:US
Practice Address - Phone:415-800-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral