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Individual
GREGGORY ALLEN MARTIN
Active
Individual
GREGGORY ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
APP-001024756
OH
103T00000X
Psychologist
Primary
P.09034
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
09/04/2026
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