Individual
DR. LELAND KARL MARTIN
Active
Individual
DR. LELAND KARL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109951
BEHAVIORAL HEALTH CARE PR
MN
01
—
169220
COMPSYCH
MN
01
—
5H813MA
BLUE CROSS BLUE SHIELD
MN
01
—
6129689
UNITED BEHAVIORAL HEALTH
MN
05
—
783725900
—
MN
01
—
HP27418
HEALTH PARTNERS
MN
Enumeration date
06/06/2006
Last updated
07/07/2022
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