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Individual

MR. ROBERT G. MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
8150 A COURT AVE, HAMLIN, WV 25523-1434
(304) 824-7776
(304) 824-7776
Mailing address
8150 A COURT AVE, HAMLIN, WV 25523-1434
(304) 824-7776
(304) 824-7776

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
366
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165418000
WV
Enumeration date
05/23/2006
Last updated
08/15/2008
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