Martin, Michael T

Martin, Michael T is an individual health care provider with primary practice located at 1670 Clairmont Rd Atlanta Va Medical Center, Decatur GA 30033-4004. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Martin, Michael T can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Atlanta Va Medical Center Decatur GA 30033-4004
Phone: (404) 321-6111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 002512 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002512 Georgia

Profile Details

NPI number 1821192469
LBN Legal business name Martin, Michael T
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1821192469 NPPES
Georgia MEDICAID 00912854A

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