| Dr Douglass Eugene Martin, EDD | |
|
4013 Ne 57th Pl, Gladstone, MO 64119-2268 | |
| (816) 536-1828 | |
| (816) 413-5305 |
| Full Name | Dr Douglass Eugene Martin |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 4013 Ne 57th Pl, Gladstone, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649357211 | NPI | - | NPPES |
| 16469011 | Other | MO | BC/BS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY000307 (Missouri) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PY000307 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglass Eugene Martin, EDD 4013 Ne 57th Pl, Gladstone, MO 64119-2268 Ph: (816) 536-1828 | Dr Douglass Eugene Martin, EDD 4013 Ne 57th Pl, Gladstone, MO 64119-2268 Ph: (816) 536-1828 |
Dr. Kevin Bertrand Murch, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6812 N Oak Trfy, Suite 1, Gladstone, MO 64118 Phone: 816-436-0371 Fax: 816-436-0383 | |
Stephen A. Daily, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Ne 72nd Street, Gladstone, MO 64118 Phone: 816-333-0606 | |
Dr. Colleen Fagan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Ne 60th St Ste 205, Gladstone, MO 64119 Phone: 816-694-0200 Fax: 888-507-5906 |