Henry Gregg Martin in Marion - Clinical

Henry Gregg Martin - NPI 1750339024

Henry Gregg Martin is a Clinical in Marion, Indiana. Henry Gregg Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Henry Gregg Martin is 1750339024. The last update date is 2007-07-09.

Henry Gregg Martin's current location address is 330 N Wabash Ave, Marion, Indiana. You can contact this provider via phone number 7656626035 and fax number 7656629102. The mailing address for Henry Gregg Martin is 330 N Wabash Ave, Marion, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry Gregg Martin
Address 330 N Wabash Ave, Marion, Indiana
Phone Number 7656626035
Fax Number 7656629102
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1750339024
Provider Enumeration Date 2006-05-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 330 N Wabash Ave
City Marion
State Indiana (IN)
Post Code 469522600
Phone Number 7656626035
Fax Number 7656629102

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20010243
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
100143810A IN --

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FAQs about Henry Gregg Martin

What is the unique identifier code issued to Henry Gregg Martin by the Centers for Medicare & Medicaid Services (CMS)?

The Henry Gregg Martin has been assigned the NPI (National Provider Identifier) 1750339024. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Henry Gregg Martin's facilities are situated?

The facilities of Henry Gregg Martin are physically located at the following address: 330 N Wabash Ave, Marion, IN, 469522600.

What is the Henry Gregg Martin's specialty and taxonomy code?

The Henry Gregg Martin's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did Henry Gregg Martin receive its 1750339024 assignment from the Centers for Medicare & Medicaid Services?

The Henry Gregg Martin was assigned its 1750339024 on 2006-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Henry Gregg Martin last refreshed?

The information related to the Henry Gregg Martin, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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