Individual
DR. EDNA J MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6020 W EGIDI LN, LIBERTYVILLE, IL 60048-9430
(847) 362-4933
(847) 579-8516
Mailing address
6020 W EGIDI LN, LIBERTYVILLE, IL 60048-9430
(847) 362-4933
(847) 579-8516
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-006181
IL
Other
Enumeration date
08/31/2005
Last updated
02/25/2009
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