Thomas E. Martin, PSY.D., LCPC

NPI #1487766762 in North Chicago, Illinois

Provider Information

NPI Number: 1487766762
Entity Type: Individual
Name: Thomas E. Martin, PSY.D., LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D., LCPC
Enumeration Date: Aug 31, 2006
Last Updated: Dec 26, 2007

Practice Location

Address: 3001 GREEN BAY RD
Address 2: BUILDING 9 116B
City: North Chicago
State: Illinois
ZIP Code: 60064-3048
Phone: (847) 688-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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