Whalio Doctors

NPI 1083641237

John Blanchard Martin, PHD

Practitioner Clinical Psychologist Flagstaff, AZ

Practice location

Address
1215 N Beaver St, Flagstaff, AZ 86001-3126
Phone
(928) 773-2200
Fax
(928) 773-2300
Mailing address
1200 N Beaver St, Flagstaff, AZ 86001-3118

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 4397 (AZ)

Registry record

NPI
1083641237
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jun 2006
Record last updated
25 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.