Individual
DR. STEPHEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
119 COULTER AVE, ARDMORE, PA 19003-2427
(610) 896-7536
(610) 660-9219
Mailing address
119 COULTER AVE, ARDMORE, PA 19003-2427
(610) 896-7536
(610) 660-9219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004221L
PA
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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