MR. Michael Martin
NPI #1710378112 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1710378112
- Entity Type
- Individual
- Name
- MR. Michael Martin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Feb 7, 2015
- Last Updated
- Feb 7, 2015
Practice Location
- Address
- 26005 E 107TH ST S
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-3944
- Phone
- (918) 946-7136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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Organizations
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|---|---|
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