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Organization

ROBERT G. MARTIN

Active
Other names
Martin & Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G. MARTIN M.A. (OWNER)
(304) 824-7776
Entity
Organization

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
103TC0700X
Clinical Psychologist
Primary
366
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001720515
BLUE CROSS BLUE SHIELD
WV
05
3810002105
WV
Enumeration date
12/11/2006
Last updated
08/15/2008
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