| Deborah A. Martin, Ph.d., Inc. | |
|
2460 Fairmount Blvd Suite 315 Cleveland Heights OH 44106-3171 | |
| (216) 647-8657 | |
| Not Available |
| Full Name | Deborah A. Martin, Ph.d., Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2460 Fairmount Blvd, Cleveland Heights, Ohio |
| Authorized Official Name and Position | Deborah A A. Martin-grissom (OWNER AND CEO) |
| Authorized Official Contact | 2166478657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A. Martin, Ph.d., Inc. 4887 Lee Rd Cleveland OH 44128-3846 Ph: (216) 647-8657 | Deborah A. Martin, Ph.d., Inc. 2460 Fairmount Blvd Suite 315 Cleveland Heights OH 44106-3171 Ph: (216) 647-8657 |
| NPI Number | 1780982298 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780982298 | NPI | - | NPPES |
| 1215265046 | Other | OH | SOLE PROPRIETOR NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E007500 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E007500 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E007500 (Ohio) | Primary |
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