Individual provider · Type 1 NPI

Candace Louise Martin, PSY.D.

Psychologist · Fort Wayne, IN

NPI number 1114137080 Active

Practice location

6319 Constitution Dr
Fort Wayne, IN 46804-1547

Fax (260) 432-4860

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X20040983A (IN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1114137080

Candace Louise Martin, PSY.D.'s National Provider Identifier is 1114137080, issued on May 22, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.