Provider Demographics
NPI:1265101190
Name:MARTINEZ, HANNAH RACHEL (PHD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:RACHEL
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7694 DORCHESTER BLVD APT 1208
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2069
Mailing Address - Country:US
Mailing Address - Phone:443-610-8367
Mailing Address - Fax:
Practice Address - Street 1:4550 PARADE FIELD LN
Practice Address - Street 2:
Practice Address - City:FORT GEORGE G MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755-7027
Practice Address - Country:US
Practice Address - Phone:436-108-3674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY754103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical