Grant L Martin in Edmonds - Psychologist

Grant L Martin - NPI 1760551949

Grant L Martin is a Psychologist in Edmonds, Washington. Grant L Martin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Grant L Martin is 1760551949. The last update date is 2007-07-08.

Grant L Martin's current location address is 555 Dayton St Ste C, Edmonds, Washington. You can contact this provider via phone number 4257744673 and fax number 4257740690. The mailing address for Grant L Martin is 555 Dayton St Ste C, Edmonds, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Grant L Martin
Address 555 Dayton St Ste C, Edmonds, Washington
Phone Number 4257744673
Fax Number 4257740690
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1760551949
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 555 Dayton St Ste C
City Edmonds
State Washington (WA)
Post Code 980203476
Phone Number 4257744673
Fax Number 4257740690

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 596
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MA1172 WA REGENCE BLUESHIELD RIDER#

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FAQs about Grant L Martin

What is the unique 10-digit identification code assigned to Grant L Martin by the Centers for Medicare & Medicaid Services?

The Grant L Martin has been issued the NPI (National Provider Identifier) 1760551949, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Grant L Martin?

The Grant L Martin is situated at 555 Dayton St Ste C, in the city of Edmonds, state of WA, with the zip code 980203476.

What is the Grant L Martin's specialty and taxonomy code?

The Grant L Martin's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date was the 1760551949 assigned to Grant L Martin?

The Grant L Martin was issued its 1760551949 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Grant L Martin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Grant L Martin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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