NPI 1619420718

Phillip K Martin, PHD

Practitioner Clinical Neuropsychologist Wichita, KS

Practice location

Address: 7829 E Rockhill St Attn: Credentialing, Wichita, KS 67206-3920
Phone: (316) 293-3850
Fax: (855) 881-8087
Mailing address: 1010 N Kansas St STE 3054 Attn: Credentialing, Wichita, KS 67214-3124

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2379 (KS)

Other Clinical Neuropsychologist providers in Kansas →

Registry record

NPI: 1619420718
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2016
Record last updated: 26 Jul 2016

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.