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DR. MARTHA ELIZABETH GLEASON PHD

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1386828432

Individual Registrant:
DR. MARTHA ELIZABETH GLEASON PHD
Gender: F
Sole Proprietor

Location and contact information for practice:
621 FOREST AVE  PACIFIC GROVE, CA 93950-4264 US
Tel: 831-375-0728  Fax: 831-375-0728

Contact information for business:
621 FOREST AVE  PACIFIC GROVE, CA 93950-4264 US
Tel: 831-375-0728  Fax: 831-375-0728

Registration Information:
NPI: 1386828432
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY17046

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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