Individual
DR. KENDALL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071.022339
IL
103TH0004X
Health Psychologist
071.022339
IL
103TP2701X
Group Psychotherapy Psychologist
071.022339
IL
103TR0400X
Rehabilitation Psychologist
071.022339
IL
Other
Enumeration date
09/18/2025
Last updated
03/18/2026
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