Individual
MARTIN W GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-8288
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-8288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30608012
—
KY
Enumeration date
07/18/2006
Last updated
05/08/2014
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