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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDNA J MARTIN, PSY.D.

Active Sole Proprietor

DR. EDNA J MARTIN, PSY.D. is a Clinical Neuropsychologist healthcare provider located in LIBERTYVILLE, Illinois. NPI 1326032780 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · LIBERTYVILLE, IL

Registration Details

NPI Number
1326032780
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2005 (20.996047292457 yrs)
Last Updated
Feb 25, 2009
License
071-006181 (IL)
Sole Proprietor
Yes

Practice Information

Address
6020 W EGIDI LN
LIBERTYVILLE, IL, 600489430
Browse IL providers · Browse ZIP 60048
Phone
8473624933
Fax
8475798516
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in LIBERTYVILLE, IL

Name Credential NPI
DR. LOREN PHILLIP HIZEL PHD 1801526561
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.