Individual provider · Type 1 NPI

Carissa Martin, PSY D

Clinical Psychologist · Fulton, MO

NPI number 1912373556 Active

Practice location

600 E 5th St
Fulton, MO 65251-1753

Call (573) 592-3355 Map

Mailing address

2309 W Broadway Apt 113
Columbia, MO 65203-1274

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2020004458 (MO)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1912373556

Carissa Martin, PSY D's National Provider Identifier is 1912373556, issued on Aug 18, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fulton, MO. The record was last updated on Dec 16, 2020.