| L Martin Health Inc | |
|
1601 Concord Pike Wilmington DE 19803-3612 | |
| (302) 893-3717 | |
| Not Available |
| Full Name | L Martin Health Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1601 Concord Pike, Wilmington, Delaware |
| Authorized Official Name and Position | Lisa Martin (OWNER) |
| Authorized Official Contact | 3028933717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Martin Health Inc 1521 Concord Pike Ste 301 Wilmington DE 19803-3644 Ph: (302) 893-3717 | L Martin Health Inc 1601 Concord Pike Wilmington DE 19803-3612 Ph: (302) 893-3717 |
| NPI Number | 1578051967 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 03/13/2022 |
| Certification Date | 03/13/2022 |
| Medicare PECOS PAC ID | 4587919113 |
|---|---|
| Medicare Enrollment ID | O20180621002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578051967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Lisa Slade Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891807376 PECOS PAC ID: 8325037906 Enrollment ID: I20080607000055 |
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