Provider Information for 1982945176
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KATHLEEN MARTELLO LMHC
Sex: Female
NPI: 1982945176
Last Updated: 2023-11-16
Certification Date: 2023-11-16
Certification Date: 2023-11-16
Details
| Name | Value | ||||||||||||
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| NPI | 1982945176 | ||||||||||||
| Enumeration Date | 2013-03-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 177 E MAIN ST NEW ROCHELLE, NY 10801-5711 United States Phone: 347-444-9637 | Fax: | ||||||||||||
| Primary Practice Address | 177 E MAIN ST NEW ROCHELLE, NY 10801-5711 United States Phone: 347-444-9637 | Fax: | ||||||||||||
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