Individual
COLLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(937) 546-1001
Mailing address
4219 FLORAL AVE, CINCINNATI, OH 45212-3216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.07722
OH
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
08/09/2017
Last updated
09/21/2020
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