Gary Roy Martin is a Forensic in Burlington, Vermont. Gary Roy Martin practices all healthcare services and medical treatments related to Forensic. The NPI Number for Gary Roy Martin is 1912063447. The last update date is 2007-07-08.
Gary Roy Martin's current location address is 1 Pine St, Burlington, Vermont. You can contact this provider via phone number 8028621511 and fax number 8028627059. The mailing address for Gary Roy Martin is 1 Pine St, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Roy Martin |
|---|---|
| Address | 1 Pine St, Burlington, Vermont |
| Phone Number | 8028621511 |
| Fax Number | 8028627059 |
| Sole Proprietor | Y |
| Credentials | MSW, PH.D. |
NPI Number Detail
| NPI Number | 1912063447 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Pine St |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54014422 |
| Phone Number | 8028621511 |
| Fax Number | 8028627059 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 062-5119 | VT | BLUE CROSS BLUE SHIELD | |
| 5119 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Roy Martin by the Centers for Medicare & Medicaid Services?
The Gary Roy Martin has been issued the NPI (National Provider Identifier) 1912063447 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gary Roy Martin is physically located?
The Gary Roy Martin is situated at the following address: 1 Pine St, Burlington, VT 54014422.
What is Gary Roy Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Roy Martin is Forensic, and the taxonomy code that categorizes this field of expertise is 103Tf0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912063447 to Gary Roy Martin?
The Centers for Medicare & Medicaid Services assigned the 1912063447 to Gary Roy Martin on 2006-12-29.
When was the information regarding Gary Roy Martin most recently updated?
The details pertaining to the Gary Roy Martin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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