Martha A Martin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY2476 Issued in WA

Practice address

1700 Main St
Suite 208
Washougal, WA 98671-4126

Phone

(360) 835-1070

Fax

(360) 210-7973

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1669552014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST",
            "address_2": "SUITE 208",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714126",
            "telephone_number": "360-835-1070",
            "fax_number": "360-210-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST",
            "address_2": "SUITE 208",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714126",
            "telephone_number": "360-835-1070",
            "fax_number": "360-210-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARTHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY2476",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jane Lyons, OTR/L
• Malynn Elizabeth Lytle, MT
• McKinley Lynn Macgregor
• Cassandra Maddux, LMP
• Ashley L Makowski, LPN
• Calen Matsuda, DC
• Alla Matveyenko, CCC-SLP
• Lindsay Victoria Mauldin, RN
• Julie Marie Maynard, LMP
• Stephen M McCarthy, PT

• Psychologist in Washougal, WA
• Providers in Washougal, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.