Organization
KIMBERLY M MARTIN, PSY.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MARIE MARTIN PSY.D. (OWNER/PSYCHOLOGIST)
(317) 721-9067
Entity
Organization
Contact information
Practice address
3650 E 46TH ST, INDIANAPOLIS, IN 46205-1610
(317) 721-9067
Mailing address
3650 E 46TH ST, INDIANAPOLIS, IN 46205-1610
(317) 721-9067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042486A
IN
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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