| Doctor Name: | DR. MARTIN W SCRIPP |
| NPI Number: | 1063583532 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.H.D. |
| License Number: | 712556 |
| Business Practice Address: | 1701 E Woodfield Rd Suite 321 Schaumburg, IL - 601735905 |
| Business Phone Number: | 8474138940 |
| Business Fax Number: | 8474130429 |
| Mailing Address: | 1701 E Woodfield Rd, Suite 321 SCHAUMBURG |
| State: | IL |
| Postal Code: | 601735905 |
| Phone Number: | 8474138940 |
| Fax Number: | 8474130429 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 712556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |