Individual
THOMAS A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
307 MILL ST, DANVILLE, PA 17821-1966
(570) 275-6080
Mailing address
307 MILL ST, DANVILLE, PA 17821-1966
(570) 275-6080
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS005044L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014889850001
—
PA
Enumeration date
04/17/2007
Last updated
04/24/2008
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