Search › California › 103TC0700X
Jack Martinez, PSYD
NPI 1679782767 · on the registry since 2007
Practice
- Address
- 338 South Dakota Ave
Vandenberg Sfb, Lompoc, CA 93437 - Phone
- (805) 606-8217
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California