Martin Ikeda, PH. D.

NPI #1386982254 in Clive, Iowa

Provider Information

NPI Number: 1386982254
Entity Type: Individual
Name: Martin Ikeda, PH. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH. D.
Enumeration Date: Jan 28, 2013
Last Updated: Jul 25, 2013

Practice Location

Address: 1860 NW 118TH ST
Address 2: SUITE 100
City: Clive
State: Iowa
ZIP Code: 50325-8278
Phone: (515) 778-4378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Behavior Analyst	103K00000X

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