DEBORAH LYNN MARTIN (NPI# 1942354550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942354550 |
Entity Type | Individual |
Full Name | DEBORAH LYNN MARTIN |
Credential | MA,L.P.C.,L.C.A.D.C |
Practice Address |
111 Broad St Eatontown NJ 07724-1529 |
Practice Telephone | 6094964296 |
Mailing Telephone | 6094964296 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00082900 | NJ | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
37PC00059100 | NJ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487205779 | Deborah Martin | Technician | 1006 Shell Rock Rd, La Poete, TX 77571 | 2019-09-27 |
1326483397 | Deborah Louise Martin | Registered Nurse | 6800 Dorchester Rd, N Charleston, SC 29418-3736 | 2013-05-06 |
1689923781 | Deborah L Martin | Massage Therapist | 45 Serenity Lane, Jack's Creek Road, Lewistown, PA 17044 | 2012-09-05 |
1851564678 | Deborah Sue Martin | Speech-Language Pathologist | 317 Avon St, New London, WI 54961-1110 | 2008-04-13 |
1952590762 | Deborah Warwick Martin | General Practice | 2524 Frances Dr, Loveland, CO 80537-6966 | 2007-10-17 |
1851508519 | Deborah Lynn Martin | Optometrist | 27 Bellaire Dr, New Castle, PA 16105-1614 | 2007-05-16 |
1053456897 | Deborah Ann Martin | Pharmacist | 22981 Hall Rd, Woodhaven, MI 48183-1539 | 2007-02-20 |
1558326413 | Deborah A Martin | Surgery | 1400 Northside Forsyth Dr Ste 340, Cumming, GA 30041-6017 | 2006-04-20 |
1144228669 | Deborah Blakney Martin | Nurse Practitioner | 7235 Hacks Cross Rd, Olive Branch, MS 38654 | 2005-07-08 |
1164056842 | Deborah G Martin | Registered Nurse | 100 Alcott Pl, Bronx, NY 10475-4102 | 2020-03-03 |
Street Address |
111 BROAD ST |
City | EATONTOWN |
State | NJ |
Zip Code | 07724-1529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
Find all providers in zip 07724 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376141291 | Jennfer Marie Guzman | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2020-10-13 |
1003414939 | Matthew Steven Behrens | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2020-10-13 |
1740896042 | Candace Kotkin-decarvalho | Counselor | 3 Corbett Way, Eatontown, NJ 07724-2283 | 2020-09-22 |
1629631627 | Jo Myman | Counselor | 3 Corbett Way, Eatontown, NJ 07724-2283 | 2019-04-16 |
1689144941 | James Rawlins Price | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2018-11-29 |
1962972315 | Nicole Martinez | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2018-11-28 |
1891296067 | Michelle Burton | Counselor | 3 Corbett Way, Eatontown, NJ 07724-2283 | 2018-02-23 |
1932646981 | Geraldine Viggiani | Counselor | 27 Main St, Eatontown, NJ 07724-3498 | 2017-01-30 |
1447596028 | Keith H Martinez | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2012-12-30 |
1548417694 | Sharon Moleski | Counselor | 56 Jamestown Rd, Eatontown, NJ 07724-2433 | 2008-08-20 |
Find all providers in EATONTOWN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.