Female

Dr. Martha A. Collette PHD

Full Name

Dr. Martha Ann Collette PHD

NPI Number

1467437608

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/09/2005

Specialties

(Taxonomies)

Code

103G00000X
103T00000X

Primary Taxonomy

No
No

Licenses

State

Massachusetts

License Number

2347

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 237
24 NEPTUNE ST

City

Prides Crossing
Beverly

State

MA
MA

Postal Code

01965-0237
01915-4726

Country

US
US

Telephone Number

(978) 922-2046
(978) 921-5080

Identifiers

Identifier

0507253

Identifier State

MA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address