Individual
DR. JODI A. MARTIN
Active
Individual
DR. JODI A. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0032
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173L2MA
BLUE CROSS INDIVIDUAL
MN
01
—
6162895
UNITED HEALTHCARE
MN
01
—
95462
HEALTHPARTNERS INURANCE
MN
Enumeration date
12/11/2006
Last updated
07/08/2007
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