Deborah A. Martin, Ph.D., Inc.

LBN: Deborah A. Martin, Ph.D., Inc.
Deborah A. Martin, Ph.D., Inc. is an health care organization with primary practice located at 2460 Fairmount Blvd Suite 315, Cleveland Heights OH 44106-3171. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Deborah A. Martin, Ph.D., Inc. can be contacted via phone (216) 647-8657, or through A. Martin-Grissom, Deborah A via phone (216) 647-8657.

Contact Information

Primary practice address
2460 Fairmount Blvd Suite 315 Cleveland Heights OH 44106-3171
Phone: (216) 647-8657
Fax:
Website:
Map and Directions
Authorized official contact:
Name: A. Martin-Grissom, Deborah A PH.D.
Phone: (216) 647-8657

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E007500 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E007500 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E007500 Ohio

Profile Details

NPI number 1780982298
LBN Legal business name Deborah A. Martin, Ph.D., Inc.
DBA Doing business as
Authorized official A. Martin-Grissom, Deborah A PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2011
Last updated Mar 8th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780982298 NPPES
Ohio Other 1215265046 SOLE PROPRIETOR NPI

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