| Doctor Name: | MS. SUSAN E MARTIN |
| NPI Number: | 1285773135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 3489 |
| Business Practice Address: | 100 Campus Avenue Suite 208 Lewiston, ME - 04240 |
| Business Phone Number: | 2077778974 |
| Business Fax Number: | 2077778946 |
| Mailing Address: | Po Box 10187, ALBANY |
| State: | NY |
| Postal Code: | 122015187 |
| Phone Number: | 2077774111 |
| Fax Number: | 2077836660 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 02/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 3489 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| 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 |