Stephen Martin is a Psychologist in Ardmore, Pennsylvania. Stephen Martin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stephen Martin is 1740343409. The last update date is 2007-07-08.
Stephen Martin's current location address is 119 Coulter Ave, Ardmore, Pennsylvania. You can contact this provider via phone number 6108967536 and fax number 6106609219. The mailing address for Stephen Martin is 119 Coulter Ave, Ardmore, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Martin |
|---|---|
| Address | 119 Coulter Ave, Ardmore, Pennsylvania |
| Phone Number | 6108967536 |
| Fax Number | 6106609219 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1740343409 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 119 Coulter Ave |
|---|---|
| City | Ardmore |
| State | Pennsylvania (PA) |
| Post Code | 190032427 |
| Phone Number | 6108967536 |
| Fax Number | 6106609219 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS004221L |
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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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What is the unique 10-digit identifier code issued to Stephen Martin by the Centers for Medicare & Medicaid Services?
The Stephen Martin has been assigned the NPI (National Provider Identifier) 1740343409 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stephen Martin's physical address?
The Stephen Martin is physically located at 119 Coulter Ave, in the city of Ardmore, PA, with the postal code 190032427.
What is the Stephen Martin's specialty and taxonomy code?
The Stephen Martin's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740343409 to Stephen Martin?
The Centers for Medicare & Medicaid Services originally issued the 1740343409 to Stephen Martin on 2006-12-17.
When was the Stephen Martin's information last updated?
The Stephen Martin's information was last updated on 2007-07-08.
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