Provider Demographics
NPI:1841265352
Name:RODRIGUES-MARTO, SONIA M (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:M
Last Name:RODRIGUES-MARTO
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:M
Other - Last Name:MARTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC, NCC
Mailing Address - Street 1:1126 KERWIN ST
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3323
Mailing Address - Country:US
Mailing Address - Phone:732-968-1849
Mailing Address - Fax:908-561-2649
Practice Address - Street 1:3322 ROUTE 22
Practice Address - Street 2:SUITE 424
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3476
Practice Address - Country:US
Practice Address - Phone:732-221-0568
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00335800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11547353OtherCAQH PROVIDER ID