Carissa Martin, PSY D
Clinical Psychologist · Fulton, MO
Practice location
600 E 5TH StFulton, MO 65251-1753
- Phone
- (573) 592-3355
NPI record
- NPI
- 1912373556
- Entity type
- Individual (Type 1)
- Enumeration date
- August 18, 2015
- Last updated
- December 16, 2020
- Certified
- December 16, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Psychologist Primary | 103TC0700X |
2020004458 | MO |
Mailing address
2309 W Broadway Apt 113Columbia, MO 65203-1274
- Phone
- (502) 472-4499
About Dr. Martin
Carissa Martin, PSY D is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 600 E 5TH St, Fulton, MO 65251-1753. The NPI number 1912373556 was assigned on August 18, 2015 and the record was last updated on December 16, 2020.
Dr. Martin lists a license in the registry: #2020004458 (MO) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Carissa Martin, PSY D?
The NPI number is 1912373556.
What is the phone number of Dr. Martin?
The phone number listed for the practice location is (573) 592-3355.
Where is Dr. Martin located?
600 E 5TH St, Fulton, MO 65251-1753.
What is the taxonomy code for Dr. Martin?
The primary taxonomy code is 103TC0700X – Clinical Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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