Jeffery R. Martin in Kentfield - Clinical

Jeffery R. Martin - NPI 1558400739

Jeffery R. Martin is a Clinical in Kentfield, California. Jeffery R. Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffery R. Martin is 1558400739. The last update date is 2007-07-08.

Jeffery R. Martin's current location address is 1010 Sir Francis Drake Blvd, Kentfield, California. You can contact this provider via phone number 4154613175 and fax number 7075791945. The mailing address for Jeffery R. Martin is 1010 Sir Francis Drake Blvd, Kentfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffery R. Martin
Address 1010 Sir Francis Drake Blvd, Kentfield, California
Phone Number 4154613175
Fax Number 7075791945
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1558400739
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1010 Sir Francis Drake Blvd
City Kentfield
State California (CA)
Post Code 949041417
Phone Number 4154613175
Fax Number 7075791945

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY4872
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Jeffery R. Martin

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

The Jeffery R. Martin has been assigned the NPI (National Provider Identifier) 1558400739 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jeffery R. Martin's facilities are situated?

The facilities of Jeffery R. Martin are physically located at the following address: 1010 Sir Francis Drake Blvd, Kentfield, CA, 949041417.

What is Jeffery R. Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeffery R. Martin is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Jeffery R. Martin receive the assignment of its 1558400739 from the Centers for Medicare & Medicaid Services?

The Jeffery R. Martin was issued its 1558400739 by the Centers for Medicare & Medicaid Services on 2007-02-05.

As of what date was the information regarding Jeffery R. Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffery R. 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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