Individual
MICHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
25901 EMERY RD STE 112, CLEVELAND, OH 44128-6213
(216) 765-4470
(216) 765-4471
Mailing address
25901 EMERY RD STE 112, CLEVELAND, OH 44128-6213
(216) 765-4470
(216) 765-4471
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP374
OH
Other
Enumeration date
06/05/2014
Last updated
06/06/2014
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