Individual
DR. HENRY GREGG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
330 N WABASH AVE, SUITE 330, MARION, IN 46952-2600
(765) 662-6035
(765) 662-9102
Mailing address
330 N WABASH AVE, SUITE 330, MARION, IN 46952-2600
(765) 662-6035
(765) 662-9102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010243
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143810A
—
IN
Enumeration date
05/05/2006
Last updated
07/09/2007
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