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Individual
DR. WILIAM FRASER MARTIN
Active
Individual
DR. WILIAM FRASER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
614
LA
103TC0700X
Clinical Psychologist
Primary
0810007396
VA
103TH0004X
Health Psychologist
071006511
IL
Other
Enumeration date
04/18/2007
Last updated
12/15/2021
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