| Teri M Martin, | |
|
15095 Amargosa Rd, Suite 201, Victorville, CA 92394-1879 | |
| (760) 245-4695 | |
| (760) 513-4676 |
| Full Name | Teri M Martin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 15095 Amargosa Rd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174835409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCSW101451 (California) | Primary |
| Entity Name | High Desert Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
| Entity Name | Progressive Movement Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720736473 PECOS PAC ID: 3870970379 Enrollment ID: O20220523002657 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Teri M Martin, 15095 Amargosa Rd, Suite 201, Victorville, CA 92394-1879 Ph: (760) 245-4695 | Teri M Martin, 15095 Amargosa Rd, Suite 201, Victorville, CA 92394-1879 Ph: (760) 245-4695 |
Marshe Shona Marshall, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14075 Hesperia Rd Ste 105, Victorville, CA 92395 Phone: 760-964-7116 | |
Melinda Cortez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15534 6th St, Victorville, CA 92395 Phone: 760-241-4917 Fax: 760-241-8911 | |
Mrs. Eugenia Pinheiro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14201 Kentwood Blvd Ste 2, Victorville, CA 92392 Phone: 760-253-1834 Fax: 760-267-9109 | |
Miss Lydia Deanne Velasquez, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 13333 Palmdale Rd, Victorville, CA 92392 Phone: 760-241-4917 Fax: 760-951-7967 | |
Yvette Hammer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13333 Palmdale Rd, Victorville, CA 92392 Phone: 760-241-4917 Fax: 760-241-8911 | |
Abiala Tabitha Gill, BS., MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14360 Saint Andrews Dr, Suite 7, Victorville, CA 92395 Phone: 760-780-4750 Fax: 760-245-5896 | |
Alicia Kay Mcdonell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12625 Hesperia Rd, Victorville, CA 92395 Phone: 760-995-8300 Fax: 760-955-2356 |