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Contact Information

GREGG A MARTIN, PhD
4760 BELPAR ST NW
CANTON, OH44718-3603
 Phone: 330-492-9200
 Fax: 330-492-5454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GREGG A MARTIN · (Male)

NPI # 1174694558
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/10/2006
Last updated 03/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 4547
  • OH Medicaid 0888722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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