Individual
SUSAN A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2927 N 7TH AVE, PHOENIX, AZ 85013-4102
(602) 406-3153
(602) 406-4122
Mailing address
3200 N CENTRAL AVE, SUITE 900, PHOENIX, AZ 85012-2425
(602) 406-3729
(602) 798-9412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3847
AZ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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