Individual
MARTIN JOHN DESCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3500 INTERSTATE 30, SUITE B-240, MESQUITE, TX 75150-2696
(972) 681-7246
(972) 681-1079
Mailing address
3500 INTERSTATE 30, SUITE B-240, MESQUITE, TX 75150-2696
(972) 681-7246
(972) 681-1079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040228101
—
TX
01
—
87438A
BCBS
TX
Enumeration date
04/04/2006
Last updated
04/26/2024
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