Individual
DR. MARTIN MARVIN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
26 TRAPELO RD, BELMONT, MA 02478
(617) 484-8378
(617) 484-4367
Mailing address
26 TRAPELO RD, BELMONT, MA 02478
(617) 484-8378
(617) 484-4367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
61
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732529
TUFTS HEALTH PLAN
MA
01
—
905301
PACIFICARE
CA
01
—
W01248
BCBS OF MASS INC
MA
Enumeration date
08/01/2006
Last updated
07/08/2007
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