Individual
MR. ROBERT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,LLP
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
215 FOREST AVE, JACKSON, MI 49203-1207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007758
MI
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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