NPI 1275000978

Susan Martin, LMFT

Practitioner Marriage & Family Therapist Eagle, ID

Practice location

Address: 380 W. State St., Eagle, ID 83616
Phone: (208) 629-7730
Mailing address: PO Box 140514, Garden City, ID 83714

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 8352 (ID)

Other Marriage & Family Therapist providers in Idaho →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 110172 (CA)

Registry record

NPI: 1275000978
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2018
Record last updated: 12 Jan 2022

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.