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DR. MARTIN BLOCK PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932147121

Individual Registrant:
DR. MARTIN  BLOCK PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
300 TAMAL PLZ STE 140 CORTE MADERA, CA 94925-1131 US
Tel: 415-563-3438  Fax: 415-563-3438

Contact information for business:
300 TAMAL PLZ STE 140 CORTE MADERA, CA 94925-1131 US
Tel: 415-563-3438  Fax: 415-563-3438

Registration Information:
NPI: 1932147121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY11367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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