MEDICARE: MARTHA A. WEBB PH.D.

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	103TC0700X	Clinical Psychologist	6225	OH
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	841186	OH

General Provider Information

NPI Number	:	1972552602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA A. WEBB PH.D.

Provider Business Mailing Address
First Line	:	12417 CEDAR RD
Second Line	:	SUITE 21
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3157
Country	:	US
Telephone Number	:	216-229-2100
Fax Number	:	216-382-9572

Provider Business Practice Location Address
First Line	:	12417 CEDAR RD
Second Line	:	SUITE 21
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3157
Country	:	US
Telephone Number	:	216-229-2100
Fax Number	:	216-382-9572

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/11/2025

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