Provider Demographics
NPI:1598527624
Name:FLAUM, MARTA P (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:P
Last Name:FLAUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARTA
Other - Middle Name:P
Other - Last Name:FISHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:94 CHESTNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2636
Mailing Address - Country:US
Mailing Address - Phone:914-260-8425
Mailing Address - Fax:
Practice Address - Street 1:480 BEDFORD RD STE 3201
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1715
Practice Address - Country:US
Practice Address - Phone:914-238-1438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010138103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent