NPI 1033173745

Elisamuel Martinez Diaz

Practitioner Clinical Psychologist New Rochelle, NY

Practice location

Address: 10 Davenport Ave Bsmt, New Rochelle, NY 10805-3634
Phone: (787) 396-0975

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 024087 (NY)

Other Psychologist providers in New York →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2559 (PR)

Registry record

NPI: 1033173745
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2006
Record last updated: 21 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.