Individual
KEN J MARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4025 KILLINGTON CT, EAGLEVILLE, PA 19403-1224
(484) 704-0003
Mailing address
4025 KILLINGTON CT, EAGLEVILLE, PA 19403-1224
(484) 704-0003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017266
PA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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