NPI 1851176879 · live from the CMS NPI Registry
Martina Azar, PhD
Clinical Neuropsychologist in Andover, MA. National Provider Identifier 1851176879, active.
NPI record
| NPI | 1851176879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 3 Dundee Park Dr Ste 203, Andover, MA 01810 |
| Practice phone | 978-296-5595 |
| Enumerated | August 28, 2023 |
| Last updated | January 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS02298 (RI) |
| Psychologist | 103T00000X | PSY10000179 (MA) |
| Psychologist | 103T00000X | PS02298 |
| Clinical Neuropsychologist primary | 103G00000X | PSY10000179 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.