MARTIN NEUROBEHAVIORAL CENTER PC NPI 1356573414

NPI Information

  • NPI: 1356573414
  • Provider Name: MARTIN NEUROBEHAVIORAL CENTER, PC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 3800 PALUXY DR
    SUITE 450
    TYLER, TX
    ZIP 75703
  • Phone: (903) 258-9938

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NPI Details

MARTIN NEUROBEHAVIORAL CENTER, PC is a clinical neuropsychologist in Tyler, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MARTIN NEUROBEHAVIORAL CENTER, PC NPI is 1356573414. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 PALUXY DR
SUITE 450
TYLER, TX
ZIP 75703-629
Phone: (903) 258-9938

The provider's authorized official is Stephen Kelly Martin .
The authorized official title is Owner and has the following contact phone number (903) 258-9938.

The enumeration date for this NPI number is 8/21/2009 and was last updated on 10/26/2009.

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
1103G00000XClinical Neuropsychologist4740TEXASYes

What is NPI?

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This page was last updated on: 3/30/2025

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