DR. JACK MARTIN PH.D. NPI 1831309269

NPI Information

NPI: 1831309269
Provider Name: DR. JACK MARTIN, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5934 S STAPLES ST
SUITE 210
CORPUS CHRISTI, TX
ZIP 78413
Phone: (361) 992-1212
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DR. Jack Martin, PH.D. is a mental health counselor in Corpus Christi, TX. DR. Jack Martin, PH.D. NPI is 1831309269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5934 S STAPLES ST
SUITE 210
CORPUS CHRISTI, TX
ZIP 78413-842
Phone: (361) 992-1212

The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2311	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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