Individual
DR. MICHAEL T MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1670 CLAIRMONT RD, ATLANTA VA MEDICAL CENTER, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, ATLANTA VA MEDICAL CENTER, DECATUR, GA 30033-4004
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002512
GA
103T00000X
Psychologist
002512
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00912854A
—
GA
Enumeration date
09/12/2006
Last updated
09/11/2025
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