Healthcare Provider Details

I. General information

NPI: 1649158379
Provider Name (Legal Business Name): ARLENE MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 FAIRVIEW RD
BAKERSFIELD CA
93307-5512
US

IV. Provider business mailing address

1624 FAIRVIEW RD
BAKERSFIELD CA
93307-5512
US

V. Phone/Fax

Practice location:
  • Phone: 661-444-9127
  • Fax:
Mailing address:
  • Phone: 661-837-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: