Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARTHA L KETTERIDGE, N.P
Active Sole ProprietorMS. MARTHA L KETTERIDGE, N.P is a Psychiatric/Mental Health, Community CNS healthcare provider located in HUNTINGTON, New York. NPI 1952488454 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · HUNTINGTON, NY
Registration Details
- NPI Number
- 1952488454
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.827904971758 yrs)
- Last Updated
- Mar 8, 2019
- Licenses
-
F400635 (NY)F400635 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 E MAIN STSTE 5HUNTINGTON, NY, 117432979Browse NY providers · Browse ZIP 11743
- Phone
- 6318641795
- Fax
- 6318641795
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Nurse Practitioner
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.