Individual
DR. DANIEL JAMES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
19 LINWOLD DR, WEST HARTFORD, CT 06107-1237
(203) 887-7454
Mailing address
19 LINWOLD DR, WEST HARTFORD, CT 06107-1237
(203) 887-7454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8436
MA
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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