SearchVirginia103TC0700X

Johnathan Martin, PSY.D

NPI 1699128488 · on the registry since 2016 · sole proprietor

Practice

Address
1970 Roanoke Blvd
Salem Va Medical Center
Salem, VA 24153
Phone
(540) 982-2463
Organisation at this address
Salem Vamc
Salem Vamc
Salem Vamc
Pulaski Va Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
662

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia