Individual
DR. MARTIN PLANT MORTHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 VA CENTER, AUGUSTA, ME 04330
(207) 623-5792
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1765
AL
Other
Enumeration date
08/03/2012
Last updated
06/12/2013
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