Donovan P Martin in Fort Wayne - Mental Health

Donovan P Martin - NPI 1861572497

Donovan P Martin is a Mental Health in Fort Wayne, Indiana. Donovan P Martin practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Donovan P Martin is 1861572497. The last update date is 2007-07-08.

Donovan P Martin's current location address is 1910 Saint Joe Center Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604845599. The mailing address for Donovan P Martin is 1910 Saint Joe Center Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Donovan P Martin
Address 1910 Saint Joe Center Rd, Fort Wayne, Indiana
Phone Number 2604845599
Fax Number
Sole Proprietor Y
Credentials MA, NCC, L

NPI Number Detail

NPI Number 1861572497
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1910 Saint Joe Center Rd
City Fort Wayne
State Indiana (IN)
Post Code 468255000
Phone Number 2604845599
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 39001739A
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Donovan P Martin

What is the unique 10-digit identification code issued to Donovan P Martin by the Centers for Medicare & Medicaid Services?

The Donovan P Martin has been assigned the NPI (National Provider Identifier) 1861572497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Donovan P Martin is physically located?

The Donovan P Martin is situated at the following address: 1910 Saint Joe Center Rd, Fort Wayne, IN 468255000.

What is Donovan P Martin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Donovan P Martin's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1861572497 to Donovan P Martin?

The Centers for Medicare & Medicaid Services assigned the 1861572497 to Donovan P Martin on 2006-10-17.

As of what date were the details related to Donovan P Martin most recently updated or revised?

The information pertaining to Donovan P Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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