MEDICARE: DR. MARTIN BINKS PHD

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
1	103T00000X	Psychologist	2969	NC

General Provider Information

NPI Number	:	1427068147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN BINKS PHD

Provider Business Mailing Address
First Line	:	2801 CANTER DR
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-7815
Country	:	US
Telephone Number	:	919-797-0281
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 CROASDAILE FARM PKWY
Second Line	:	SUITE 108
City	:	DURHAM
State	:	NC
Zip	:	27705-1465
Country	:	US
Telephone Number	:	919-797-0281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	10/30/2011

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