Provider Demographics
NPI:1992813984
Name:MARTINS, ROXANNE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:MARTINS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CALVIN AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-3713
Mailing Address - Country:US
Mailing Address - Phone:508-567-3921
Mailing Address - Fax:
Practice Address - Street 1:126 PRESIDENT AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2649
Practice Address - Country:US
Practice Address - Phone:508-324-1006
Practice Address - Fax:508-324-1006
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health