Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLASS EUGENE MARTIN, ED.D.
Active Sole ProprietorDR. DOUGLASS EUGENE MARTIN, ED.D. is a Psychologist healthcare provider located in GLADSTONE, Missouri. NPI 1649357211 is currently active in the NPPES registry. Verify at CMS.
Psychologist · GLADSTONE, MO
Registration Details
- NPI Number
- 1649357211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.744679170414 yrs)
- Last Updated
- Jan 20, 2010
- Licenses
-
PY000307 (MO)PY000307 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4013 NE 57TH PLGLADSTONE, MO, 641192268Browse MO providers · Browse ZIP 64119
- Phone
- 8165361828
- Fax
- 8164135305
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
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.