MARY KATHLEEN MARTIN NURSE PRACTITIONER IN PSYCHIATRY, PLLC is a prescribing (medical) psychologist in Riverhead, NY. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MARY KATHLEEN MARTIN NURSE PRACTITIONER IN PSYCHIATRY, PLLC NPI is 1578921623. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
21 W 2ND ST
SUITE 11
RIVERHEAD, NY
ZIP 11901-752
Phone: (631) 624-7839
Fax: (631) 865-5857
The provider's authorized official is Mary Martin .
The authorized official title is Owner and has the following contact phone number (631) 766-3210.
The enumeration date for this NPI number is 2/4/2016 and was last updated on 2/4/2016.