DR. Douglass Eugene Martin, ED.D.

NPI #1649357211 in Gladstone, Missouri

Provider Information

NPI Number: 1649357211
Entity Type: Individual
Name: DR. Douglass Eugene Martin, ED.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: ED.D.
Enumeration Date: Nov 1, 2006
Last Updated: Jan 20, 2010

Practice Location

Address: 4013 NE 57TH PL
City: Gladstone
State: Missouri
ZIP Code: 64119-2268
Phone: (816) 536-1828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X

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Organizations

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