Dr Candace Martin
Psychologist, Clinical in Desoto, TX. Organization (NPI-2).
NPI number1932367216
StatusActive
Last updated in NPPESJul 31, 2008
Details
- NPI
- 1932367216
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Candace Martin
- Organization subpart
- No
- Enumeration date
- May 23, 2008
- Last updated
- Jul 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
1801 N Hampton RdSuite 410
Desoto, TX 75115-8317
Phone 972-780-5160
Mailing address
1801 N Hampton RdSuite 410
Desoto, TX 75115-8317
Phone 972-780-5160 · Fax 972-780-5735
Authorized official
Candace Marie Martin
Psychologist
9727805160
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