NPI 1134279664

Constance M. Martin, PHD

Practitioner Clinical Psychologist Lincolnwood, IL

Practice location

Address: 7101 N Cicero Ave Suite 203, Lincolnwood, IL 60712-2112
Phone: (312) 458-9086
Fax: (847) 983-4783

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071-005433 (IL)

Other Psychologist providers in Illinois →

Registry record

NPI: 1134279664
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2007
Record last updated: 6 Jan 2012

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.