| Michael L Martin Ph D Pllc | |
|
5555 E 71st St Tulsa OK 74136-6542 | |
| (918) 895-6294 | |
| (918) 895-6295 |
| Full Name | Michael L Martin Ph D Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5555 E 71st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Michael L Martin (OWNER) |
| Authorized Official Contact | 9186197337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Martin Ph D Pllc 5555 E 71st St Tulsa OK 74136-6542 Ph: (918) 895-6294 | Michael L Martin Ph D Pllc 5555 E 71st St Tulsa OK 74136-6542 Ph: (918) 895-6294 |
| NPI Number | 1538608906 |
|---|---|
| Provider Enumeration Date | 02/18/2017 |
| Last Update Date | 02/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538608906 | NPI | - | NPPES |
| 100840240A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 764 (Oklahoma) | Primary |
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