Individual
DON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8064 SOUTH AVE, BOARDMAN, OH 44512-6153
(330) 518-8676
Mailing address
PO BOX 327, GIRARD, OH 44420-0327
(330) 518-8676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383746
—
OH
Enumeration date
06/09/2006
Last updated
06/14/2021
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