Dr Martin Bruce Koretzky, PHD - Psychologist in Lutherville, MD

Dr Martin Bruce Koretzky, PHD is a Psychologist based in Lutherville, Maryland. Dr Martin Bruce Koretzky is licensed to practice in Maryland (license number 1741) and his current practice location is 10751 Falls Rd, Lutherville, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 823-3626.

NPI number for Dr Martin Bruce Koretzky is 1205977204 and his current mailing address is 6513 Gardenwick Rd, Baltimore, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205977204.

Contact Information

Dr Martin Bruce Koretzky, PHD
10751 Falls Rd,
Lutherville, MD 21093-4517
(410) 823-3626
(410) 296-5018

Map and Direction




Healthcare Provider's Profile

Full NameDr Martin Bruce Koretzky
GenderMale
SpecialityPsychologist
Location10751 Falls Rd, Lutherville, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205977204
  • Provider Enumeration Date: 02/11/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Martin Bruce Koretzky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205977204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) 1741 (Maryland)Primary
103TC0700XPsychologist - Clinical 1741 (Maryland)Primary
103TF0000XPsychologist - Family 1741 (Maryland)Primary
103TH0100XPsychologist - Health Service 1741 (Maryland)Primary
103T00000XPsychologist 1741 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Martin Bruce Koretzky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Martin Bruce Koretzky, PHD
6513 Gardenwick Rd,
Baltimore, MD 21209-2537

Ph: (410) 823-3626
Dr Martin Bruce Koretzky, PHD
10751 Falls Rd,
Lutherville, MD 21093-4517

Ph: (410) 823-3626

Reviews and Comments


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