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General NPI Number Information
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NPI Number | 1114834835
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Entity Type | Organization
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Legal Business Name | MARLA MARTIN PSYD, LP LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 2094 S STUART AVE
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City | GILBERT
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State | AZ
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Zip | 85295-9121
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Country | US
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Telephone | 425-864-0950
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | GILBERT
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State | AZ
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Zip | 85299-0333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | MARLA MARTIN
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Credential | PSYD, LP
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Telephone | 425-864-0950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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