Provider Demographics
NPI:1649917717
Name:MARTINEZ BELL, DAMARIS ANDEL
Entity type:Individual
Prefix:MRS
First Name:DAMARIS
Middle Name:ANDEL
Last Name:MARTINEZ BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DAMARIS
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:88 E. FIDDLERS CANYON RD #121
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721
Mailing Address - Country:US
Mailing Address - Phone:801-592-3533
Mailing Address - Fax:
Practice Address - Street 1:88 E. FIDDLERS CANYON RD #121
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721
Practice Address - Country:US
Practice Address - Phone:801-592-3533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12651964-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist