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DR. EDWINA LATASHA MARTIN PH.D. NPI 1932605565


NPI Information

NPI: 1932605565
Provider Name: DR. EDWINA LATASHA MARTIN, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
18TH MEDICAL GROUP
UNIT 5142
APO, AP
ZIP 96368
Phone: (315) 634-3272
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DR. Edwina Latasha Martin, PH.D. is a clinical psychologist in Apo, AP. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Edwina Latasha Martin, PH.D. NPI is 1932605565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18TH MEDICAL GROUP
UNIT 5142
APO, AP
ZIP 96368-142
Phone: (315) 634-3272

The enumeration date for this NPI number is 4/3/2018 and was last updated on 3/9/2022.


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
1103TC0700XPsychologistClinical35204TEXASYes

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: 5/5/2024

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