Organization
DON V MARTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD V MARTIN PHD (OWNER)
(330) 518-8676
Entity
Organization
Contact information
Practice address
8472 LAKE SHORE BLVD, MENTOR, OH 44060-1515
(330) 518-8676
(724) 371-0586
Mailing address
PO BOX 327, GIRARD, OH 44420-0327
(330) 518-8676
(440) 257-5884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5695
OH
Other
Enumeration date
02/27/2008
Last updated
01/28/2015
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