Provider Demographics
NPI:1841465242
Name:MARTIRE, GINGER (PH D)
Entity type:Individual
Prefix:DR
First Name:GINGER
Middle Name:
Last Name:MARTIRE
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95071-0897
Mailing Address - Country:US
Mailing Address - Phone:650-906-9148
Mailing Address - Fax:408-741-1354
Practice Address - Street 1:13251 PARAMOUNT DR
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4222
Practice Address - Country:US
Practice Address - Phone:650-906-9148
Practice Address - Fax:408-741-1354
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21925103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical