Individual
DR. STACY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6666 PASSER RD STE 2, COOPERSBURG, PA 18036-1258
(484) 935-3434
(484) 544-3901
Mailing address
4890 MAJESTIC DR, COOPERSBURG, PA 18036-8722
(610) 295-7834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017666
PA
Other
Enumeration date
08/25/2015
Last updated
03/17/2018
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