Doctor Name: | MARTHA A. HUMBLE |
NPI Number: | 1477625010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHA |
License Number: | |
Business Practice Address: | 525 Dotson Branch Rd Salyersville, KY - 414659440 |
Business Phone Number: | 6063496136 |
Business Fax Number: | 6063497576 |
Mailing Address: | 104 S Front Ave, PRESTONSBURG |
State: | KY |
Postal Code: | 416531614 |
Phone Number: | 6068868572 |
Fax Number: | 6068864433 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |