Martin, Gregg A

Martin, Gregg A is an individual health care provider with primary practice located at 4760 Belpar St Nw , Canton OH 44718-3603. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Martin, Gregg A can be contacted via phone (330) 492-9200.

Contact Information

Primary practice address
4760 Belpar St Nw Canton OH 44718-3603
Phone: (330) 492-9200
Fax: (330) 492-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4547 Ohio
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 4547 Ohio

Profile Details

NPI number 1174694558
LBN Legal business name Martin, Gregg A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174694558 NPPES
Ohio MEDICAID 0888722

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