Individual
DR. JOHN E. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
320 W COLONIAL DR, NEW CASTLE, IN 47362-5414
(765) 465-2902
Mailing address
320 W COLONIAL DR, NEW CASTLE, IN 47362-5414
(765) 465-2902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041452A
IN
103TF0200X
Forensic Psychologist
20041452A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20041452A
IN
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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