Individual
DR. FREDERICK ARTHUR MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1232 MILL WAY, STOCKTON, CA 95209-4368
(209) 598-9851
Mailing address
1232 MILL WAY, STOCKTON, CA 95209-4368
(209) 598-9851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20746
CA
Other
Enumeration date
12/02/2008
Last updated
06/08/2012
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