Mary Jo Martin is a Clinical in Dover, New Hampshire. Mary Jo Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jo Martin is 1326166836. The last update date is 2007-07-08.
Mary Jo Martin's current location address is 4 Back River Rd, Dover, New Hampshire. You can contact this provider via phone number 6037421746. The mailing address for Mary Jo Martin is 4 Back River Rd, Dover, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Martin |
|---|---|
| Address | 4 Back River Rd, Dover, New Hampshire |
| Phone Number | 6037421746 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326166836 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4 Back River Rd |
|---|---|
| City | Dover |
| State | New Hampshire (NH) |
| Post Code | 38204404 |
| Phone Number | 6037421746 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 588 |
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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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What is the Mary Jo Martin's unique identification number?
The Mary Jo Martin has been assigned the NPI (National Provider Identifier) Number 1326166836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mary Jo Martin's physical address?
The Mary Jo Martin is physically located at 4 Back River Rd, in the city of Dover, NH, with the postal code 38204404.
What is Mary Jo Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Jo Martin is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Mary Jo Martin receive the assignment of its 1326166836 from the Centers for Medicare & Medicaid Services?
The Mary Jo Martin was issued its 1326166836 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details related to Mary Jo Martin most recently updated or revised?
The information pertaining to Mary Jo Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.