Provider Demographics
NPI:1811078033
Name:MARTINEZ, FRANK ISAAC (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ISAAC
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3915 ARKANSAS DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-3906
Mailing Address - Country:US
Mailing Address - Phone:515-294-0168
Mailing Address - Fax:515-294-5205
Practice Address - Street 1:600 5TH ST
Practice Address - Street 2:SUITE 304
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6085
Practice Address - Country:US
Practice Address - Phone:515-294-0168
Practice Address - Fax:515-294-5205
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA603103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling