Individual
COURTNEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6100 WESTERN PL, SUITE 908, FORT WORTH, TX 76107-4600
(847) 868-3435
Mailing address
175 E HAWTHORN PKWY, SUITE 235, VERNON HILLS, IL 60061-1463
(847) 868-3435
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37115
TX
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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