Individual
DR. MARTIN D CHEATLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
560 VAN REED RD, SUITE 204, WYOMISSING, PA 19610-1799
(610) 988-4951
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS003654L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101181763
—
PA
Enumeration date
06/02/2005
Last updated
09/01/2015
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