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NPI Code Detail

MEDICARE: KATHERINE MARTIN

MEDICARE: KATHERINE MARTIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.193304OH

General Provider Information

NPI Number : 1063086593
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MARTIN
Provider Business Mailing Address
First Line : 7593 TYLERS PLACE BLVD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7593 TYLERS PLACE BLVD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6308
Country : US
Telephone Number : 513-714-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 03/03/2026

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Directions to “ KATHERINE MARTIN ” Practice Location

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