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Individual

DR. CANDACE HUNTER MARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(404) 210-3346
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2355
AL
103G00000X
Clinical Neuropsychologist
PSY003559
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY003559
LICENSE
GA
Enumeration date
09/11/2012
Last updated
08/12/2024
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