Individual
CONSTANCE M. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7101 N CICERO AVE, SUITE 203, LINCOLNWOOD, IL 60712-2112
(312) 458-9086
(847) 983-4783
Mailing address
7101 N CICERO AVE, SUITE 203, LINCOLNWOOD, IL 60712-2112
(312) 458-9086
(847) 983-4783
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005433
IL
Other
Enumeration date
01/10/2007
Last updated
01/06/2012
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