Individual
BETH ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
29800 BAINBRIDGE RD, SOLON, OH 44139-2202
(440) 519-6900
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 519-6900
(216) 986-1191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4860
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136034
—
OH
Enumeration date
06/28/2006
Last updated
11/11/2021
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