Individual
DR. PAUL L. MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2200 N PONCE DE LEON BLVD STE 3, ST AUGUSTINE, FL 32084-2650
(904) 829-9859
(904) 315-7015
Mailing address
2200 N PONCE DE LEON BLVD STE 3, ST AUGUSTINE, FL 32084-2650
(904) 315-7015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3148
FL
Other
Enumeration date
03/30/2007
Last updated
04/27/2011
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