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Don V Martin LLC

Psychologist in Mentor, OH. Organization (NPI-2).

NPI number1710156435
StatusActive
Last updated in NPPESJan 28, 2015

Details

NPI
1710156435
Entity type
Organization (NPI-2)
Legal business name
Don V Martin LLC
Organization subpart
No
Enumeration date
Feb 27, 2008
Last updated
Jan 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist5695OHYes

Practice location

8472 Lake Shore Blvd
Mentor, OH 44060-1515

Phone 330-518-8676 · Fax 724-371-0586

Mailing address

Po Box 327
Girard, OH 44420-0327

Phone 330-518-8676 · Fax 440-257-5884

Authorized official

Donald V Martin
Owner
3305188676

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