Individual
DR. MARTHA A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1700 MAIN ST, SUITE 208, WASHOUGAL, WA 98671-4126
(360) 835-1070
(360) 210-7973
Mailing address
1700 MAIN ST, SUITE 208, WASHOUGAL, WA 98671-4126
(360) 835-1070
(360) 210-7973
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3126
AZ
103T00000X
Psychologist
Primary
PY2476
WA
Other
Enumeration date
10/17/2006
Last updated
08/25/2010
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