Individual
DAVID GUY MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
209 E WASHINGTON ST, SUITE 202, IOWA CITY, IA 52240-3909
(319) 354-3232
(319) 354-2990
Mailing address
209 E WASHINGTON ST, SUITE 202, IOWA CITY, IA 52240-3909
(319) 354-3232
(319) 354-2990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00754
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29335
WELLMARK BXBS
IA
Enumeration date
10/18/2005
Last updated
09/09/2009
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