Stephen Kelly Martin in Tyler - Clinical Neuropsychologist
Stephen Kelly Martin - NPI 1144233297
Stephen Kelly Martin is a Clinical Neuropsychologist in Tyler, Texas. Stephen Kelly Martin practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Stephen Kelly Martin is 1144233297. The last update date is 2007-07-08.
Stephen Kelly Martin's current location address is 3800 Paluxy Dr, Tyler, Texas. You can contact this provider via phone number 9032589938 and fax number 9035348104. The mailing address for Stephen Kelly Martin is 3800 Paluxy Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Kelly Martin |
|---|---|
| Address | 3800 Paluxy Dr, Tyler, Texas |
| Phone Number | 9032589938 |
| Fax Number | 9035348104 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1144233297 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3800 Paluxy Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031629 |
| Phone Number | 9032589938 |
| Fax Number | 9035348104 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 4740 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identification code assigned to Stephen Kelly Martin by the Centers for Medicare & Medicaid Services?
The Stephen Kelly Martin has been issued the NPI (National Provider Identifier) 1144233297. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen Kelly Martin located?
The Stephen Kelly Martin is located at 3800 Paluxy Dr, Tyler, TX 757031629.
What is Stephen Kelly Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephen Kelly Martin is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
When did the Stephen Kelly Martin receive its 1144233297?
The Stephen Kelly Martin was issued its 1144233297 on 2006-08-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Stephen Kelly Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen Kelly Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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