Provider Demographics
NPI:1972976157
Name:MARTIN, SABRINA M (PSYD)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 DEER RUN E
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761
Mailing Address - Country:US
Mailing Address - Phone:419-509-9023
Mailing Address - Fax:727-493-9155
Practice Address - Street 1:2454 N MCMULLEN BOOTH RD
Practice Address - Street 2:STE 700 (725)
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-1353
Practice Address - Country:US
Practice Address - Phone:727-755-1851
Practice Address - Fax:727-493-9155
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9390103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist