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DR. MARTIN BLOCK PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1932147121
Individual Registrant:DR. MARTIN BLOCK PH.D.
Gender: M
Sole Proprietor
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
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
Tel: 415-563-3438 Fax: 415-563-3438
Registration Information:
NPI: 1932147121
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CA | PSY11367 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
