Individual
DR. MARTY J PENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2795
Mailing address
10568 COURAGEOUS DR, INDIANAPOLIS, IN 46236-8927
(317) 823-8384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001976A
IN
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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