Individual
RICHARD ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD,MBA
Contact information
Practice address
1402 WASHINGTON ST, PELLA, IA 50219-1502
(641) 204-0055
Mailing address
1402 WASHINGTON ST, PELLA, IA 50219-1502
(641) 780-1087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00317
IA
Other
Enumeration date
11/08/2017
Last updated
04/06/2018
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