CANDACE LOUISE MARTIN

FORT WAYNE, IN
NPI1114137080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: IN  20040983A)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Dr. CANDACE LOUISE MARTIN Psy.D.
6319 CONSTITUTION DR
FORT WAYNE, IN 46804-1547
Phone number: 260-432-4346
Mailing Address
Dr. CANDACE LOUISE MARTIN Psy.D.
6319 CONSTITUTION DR
FORT WAYNE, IN 46804-1547
Phone number: 260-432-4346