Individual
MR. MARTIN EUGENE AYLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
67 PAUL REVERE RD, OIL CITY, PA 16301-1135
(814) 676-0551
Mailing address
67 PAUL REVERE RD, OIL CITY, PA 16301-1135
(814) 676-0551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005733L
PA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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