Individual
DR. MARTIN JAMES POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5200 WASHINGTON AVE, SUITE 203, RACINE, WI 53406-4238
(262) 763-7249
Mailing address
5200 WASHINGTON AVE, SUITE 203, RACINE, WI 53406-4238
(262) 763-7249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1302
WI
103TC2200X
Clinical Child & Adolescent Psychologist
1302
WI
103TF0000X
Family Psychologist
Primary
1302
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39083800
—
WI
Enumeration date
05/16/2007
Last updated
09/11/2025
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