Candace M Martin in Fort Stewart - Clinical
Candace M Martin - NPI 1245261627
Candace M Martin is a Clinical in Fort Stewart, Georgia. Candace M Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Candace M Martin is 1245261627. The last update date is 2010-09-09.
Candace M Martin's current location address is 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia. You can contact this provider via phone number 9127677301. The mailing address for Candace M Martin is 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace M Martin |
|---|---|
| Address | 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia |
| Phone Number | 9127677301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1245261627 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2010-09-09 |
Provider Mailing Address Detail
| Address | 1061 Harmon Ave Ste 1d03 |
|---|---|
| City | Fort Stewart |
| State | Georgia (GA) |
| Post Code | 313245674 |
| Phone Number | 9127677301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 26854 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87071A | TX | BCBS | |
| 165912003 | TX | -- |
Post Comment/ Review Below
What is the Candace M Martin's unique identification number?
The Candace M Martin has been assigned the NPI (National Provider Identifier) Number 1245261627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Candace M Martin?
The Candace M Martin is physically situated at 1061 Harmon Ave Ste 1D03, in the city of Fort Stewart, state of GA, with the postal code 313245674.
What is the Candace M Martin's area of specialization and corresponding taxonomy classification?
The Candace M Martin's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did the Candace M Martin receive its 1245261627?
The Candace M Martin was issued its 1245261627 on 2006-07-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Candace M Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Candace M Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-09.