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DR. MICHAEL T MARTIN PH.D.

Clinical Neuropsychologist

Decatur, Georgia

Provider NPI: 1821192469

Provider Information:
DR. MICHAEL T MARTIN PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
1670 CLAIRMONT RD ATLANTA VA MEDICAL CENTER DECATUR, GA 30033 US
Tel: 404-321-6111  Fax: --

Business Mailing Address:
1670 CLAIRMONT RD ATLANTA VA MEDICAL CENTER DECATUR, GA 30033 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
GA002512
X103T00000XBehavioral Health & Social Service Providers
Psychologist
GA002512

Other Provider Identifiers:

IssuerNumberStateType
00912854AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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