| Doctor Name: | ALBERT PHELPS MARTINSON |
| NPI Number: | 1265663850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ACSW, LSW, MSW |
| License Number: | 68010635571 |
| Business Practice Address: | 212 1/2 Maple St Big Rapids, MI - 493071806 |
| Business Phone Number: | 2317961583 |
| Business Fax Number: | 2317964083 |
| Mailing Address: | 1095 3rd St, MUSKEGON |
| State: | MI |
| Postal Code: | 494411976 |
| Phone Number: | 2317264735 |
| Fax Number: | 2317220789 |
| NPI Enumeration Date: | 07/31/2009 |
| NPI Last Update Date: | 07/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 68010635571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |