Leland Karl Martin is a Clinical in Mound, Minnesota. Leland Karl Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leland Karl Martin is 1003855743. The last update date is 2022-07-07.
Leland Karl Martin's current location address is 2434 Commerce Blvd Ste A, Mound, Minnesota. You can contact this provider via phone number 9525950562 and fax number 9525950564. The mailing address for Leland Karl Martin is 2434 Commerce Blvd Ste A, Mound, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leland Karl Martin |
|---|---|
| Address | 2434 Commerce Blvd Ste A, Mound, Minnesota |
| Phone Number | 9525950562 |
| Fax Number | 9525950564 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1003855743 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2022-07-07 |
Provider Mailing Address Detail
| Address | 2434 Commerce Blvd Ste A |
|---|---|
| City | Mound |
| State | Minnesota (MN) |
| Post Code | 553641480 |
| Phone Number | 9525950562 |
| Fax Number | 9525950564 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP3095 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 783725900 | MN | -- | |
| HP27418 | MN | HEALTH PARTNERS | |
| 6129689 | MN | UNITED BEHAVIORAL HEALTH | |
| 169220 | MN | COMPSYCH | |
| 5H813MA | MN | BLUE CROSS BLUE SHIELD | |
| 109951 | MN | BEHAVIORAL HEALTH CARE PR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leland Karl Martin?
The Leland Karl Martin has been issued the NPI (National Provider Identifier) 1003855743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Leland Karl Martin?
The Leland Karl Martin is physically situated at 2434 Commerce Blvd Ste A, in the city of Mound, state of MN, with the postal code 553641480.
What is Leland Karl Martin's area of expertise and its corresponding taxonomy classification?
The Leland Karl Martin's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Leland Karl Martin receive its 1003855743 assignment?
The Leland Karl Martin was assigned its 1003855743 on 2006-06-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Leland Karl Martin most recently updated or revised?
The information pertaining to Leland Karl Martin, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-07.
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