Individual
DR. MICHAEL DI MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
223 BRIDGE ST, CHARLEVOIX, MI 49720-1400
(650) 387-3927
Mailing address
4053 OLD 31 S, CHARLEVOIX, MI 49720-9691
(650) 387-3927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019776
MI
Other
Enumeration date
05/30/2019
Last updated
12/19/2025
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