| Ms Christine Lynne Martin, PHD | |
|
9649 Belair Rd Ste 104, Nottingham, MD 21236-1117 | |
| (410) 529-1309 | |
| (410) 529-1005 |
| Full Name | Ms Christine Lynne Martin |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 9649 Belair Rd Ste 104, Nottingham, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396865168 | NPI | - | NPPES |
| PSY18834 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY18834 (California) | Secondary |
| 103T00000X | Psychologist | 05509 (Maryland) | Primary |
| Entity Name | Well Life Counseling And Consulting, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891190054 PECOS PAC ID: 0446573166 Enrollment ID: O20150102000734 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Christine Lynne Martin, PHD 9649 Belair Rd Ste 104, Nottingham, MD 21236-1117 Ph: (410) 529-1309 | Ms Christine Lynne Martin, PHD 9649 Belair Rd Ste 104, Nottingham, MD 21236-1117 Ph: (410) 529-1309 |
Dr. Ahmed Adetola, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42 Henry Ave, Nottingham, MD 21236 Phone: 570-591-1738 | |
Loredana Petrucci, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309 Fax: 410-529-1005 | |
Sarah Feder, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309 | |
Dr. Erica Henderson, PHD, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7939 Honeygo Blvd, Nottingham, MD 21236 Phone: 240-245-0270 | |
Ethan Cuttler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309 Fax: 410-529-1005 | |
Dr. Emalee Joyce Weidemann Quickel, PH.D., LPA, HSP-PA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309 Fax: 410-529-1005 |