Douglass Eugene Martin in Gladstone - Psychologist
Douglass Eugene Martin - NPI 1649357211
Douglass Eugene Martin is a Psychologist in Gladstone, Missouri. Douglass Eugene Martin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Douglass Eugene Martin is 1649357211. The last update date is 2010-01-20.
Douglass Eugene Martin's current location address is 4013 Ne 57th Pl, Gladstone, Missouri. You can contact this provider via phone number 8165361828 and fax number 8164135305. The mailing address for Douglass Eugene Martin is 4013 Ne 57th Pl, Gladstone, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglass Eugene Martin |
|---|---|
| Address | 4013 Ne 57th Pl, Gladstone, Missouri |
| Phone Number | 8165361828 |
| Fax Number | 8164135305 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1649357211 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2010-01-20 |
Provider Mailing Address Detail
| Address | 4013 Ne 57th Pl |
|---|---|
| City | Gladstone |
| State | Missouri (MO) |
| Post Code | 641192268 |
| Phone Number | 8165361828 |
| Fax Number | 8164135305 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY000307 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16469011 | MO | BC/BS PROVIDER # |
Post Comment/ Review Below
What is the Douglass Eugene Martin's 1649357211?
The Douglass Eugene Martin's NPI (National Provider Identifier) Number is 1649357211. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Douglass Eugene Martin is located?
The Douglass Eugene Martin is situated at the following address: 4013 Ne 57Th Pl, Gladstone, MO, 641192268.
What is Douglass Eugene Martin's area of expertise and its corresponding taxonomy classification?
The Douglass Eugene Martin's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1649357211 to Douglass Eugene Martin?
The Douglass Eugene Martin received its 1649357211 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date was the information regarding Douglass Eugene Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Douglass Eugene Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-20.
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