Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEADRA MONIQUE MARTIN, PHD
Deactivated Sole ProprietorDR. DEADRA MONIQUE MARTIN, PHD is a Adult Mental Health Clinic healthcare provider located in BALTIMORE, Maryland. NPI 1174027361 is deactivated in the NPPES registry. Verify at CMS.
Adult Mental Health Clinic · BALTIMORE, MD
This NPI has been deactivated.
The record was deactivated on March 22, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1174027361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2018 (0.0027397260273973 yrs)
- Last Updated
- Sep 16, 2022
- Deactivated
- Mar 22, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
8310 LIBERTY RDBALTIMORE, MD, 212443124Browse MD providers · Browse ZIP 21244
- Phone
- 4435004887
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
Other Adult Mental Health Clinic Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| OMOLOLA FESTUS ADEDAYO | LMSW | 1568012771 |
| HARPREET DK SURI | — | 1174254825 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.