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Daniel Martin

NPI 1245843838 · on the registry since 2020

Practice

Address
91 W Colt Square Dr Ste 4
Fayetteville, AR 72703
Phone
(479) 629-5519
Organisation at this address
Ashley Wardlaw, Lcsw, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas