| Doctor Name: | DAVID C MARTIN |
| NPI Number: | 1134239593 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | PSY001157 |
| Business Practice Address: | 560 Thornton Rd Suite 106 Lithia Springs, GA - 301221655 |
| Business Phone Number: | 7707320982 |
| Business Fax Number: | 7707321283 |
| Mailing Address: | Po Box 1078, LITHIA SPRINGS |
| State: | GA |
| Postal Code: | 301227078 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 08/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY001157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |