Doctor Name: | KEVIN MARTIN |
NPI Number: | 1285006361 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.P.S. |
License Number: | |
Business Practice Address: | 795 Willow Rd Bldg. 324 Menlo Park, CA - 940252539 |
Business Phone Number: | 6504935000 |
Business Fax Number: | 6506172669 |
Mailing Address: | 795 Willow Rd, Bldg. 324 MENLO PARK |
State: | CA |
Postal Code: | 940252539 |
Phone Number: | 6504935000 |
Fax Number: | 6506172669 |
NPI Enumeration Date: | 10/28/2015 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |