DAVID LANCE MARTIN


Address: 390 W 1st N, Ephraim, UT 84627-2131
Phone: 4352834065

DAVID LANCE MARTIN (NPI# 1861651325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861651325
Entity Type Individual
Full Name DAVID LANCE MARTIN
Credential CSW
Practice Address 390 W 1st N
Ephraim
UT 84627-2131
Mailing Address 152 North 400 West
Ephraim
UT 84627-2131
Practice Telephone 4352834065
Practice Fax Number 4352835387
Mailing Telephone 4352838400
Mailing Fax Number 4352838401
Enumeration Date 2008-06-09
Last Update Date 2010-12-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
5001946-3502 UT Behavioral Health & Social Service Providers

Other Providers DAVID MARTIN

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1518340298 David Martin Counselor 2082 S Stonyfield Pl, Boise, ID 83709-5508 2015-06-30
1982954376 David Eugene Martin Nurse Practitioner 2145 Stonecrest Path, New Braunfels, TX 78130-9414 2012-09-13
1245585413 David William Martin Jr. Internal Medicine 300 Utah Ave, Suite 150, South San Francisco, CA 94080-6800 2012-07-13
1437469483 David Emory Martin Dentist 2911 A W Grimes Blvd, Ste. 106, Pflugerville, TX 78660-5458 2010-10-08
1427375989 David L Martin Pharmacist 64 N Mercer Ave, Sharpsville, PA 16150-2234 2010-04-23
1669646865 David Walker Martin Mechanotherapist 5615m Jackson Street Ext Ste 102, Alexandria, LA 71303-2274 2008-04-17
1831362060 David A Martin Licensed Practical Nurse 1394 E Bristol Rd, Flint, MI 48529-2212 2008-04-09
1376711093 David Joseph Martin Dentist 938 Dewing Ave, Suite 2, Lafayette, CA 94549-4271 2008-02-15

Office Location

Street Address 390 W 1ST N
City EPHRAIM
State UT
Zip Code 84627-2131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467480236 Rhett C. Larsen Social Worker 390 W 1st N, Ephraim, UT 84627-2131 2006-06-29
1598062739 Shayla Anderson Counselor 390 W 1st N, Ephraim, UT 84627-2131 2011-02-24
1356648505 Deborah A Munk Counselor 390 W 1st N, Ephraim, UT 84627-2131 2011-02-24
1861642126 Darla Michelle Folkner Counselor 390 W 1st N, Ephraim, UT 84627-2131 2008-09-23
1770732687 Katie Jo Bateman Counselor 390 W 1st N, Ephraim, UT 84627-2131 2008-09-16
1528227071 Chet Riley Ludlow Counselor 390 W 1st N, Ephraim, UT 84627-2131 2008-06-09
1316124472 Correen Johnson Counselor 390 W 1st N, Ephraim, UT 84627-2131 2008-01-30
1154359651 Brian J. Whipple Social Worker 390 W 1st N, Ephraim, UT 84627-2131 2006-06-30
1740218452 Mark N. Metekingi Social Worker 390 W 1st N, Ephraim, UT 84627-2131 2006-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730555400 Snow College Specialist/Technologist 150 E. College Way, Ephraim, UT 84627 2015-08-18
1457601353 Riley David Beck Counselor 390 E 100 S, Ephraim, UT 84627 2012-09-18
1992079099 Lighthouse Ranch Corporation Substance Abuse Rehabilitation Facility 390 East 100 South, Ephraim, UT 84627 2012-03-07
1598067647 Stephanie Irons Counselor 45 W 700 S, Ephraim, UT 84627 2010-11-23
1801104054 Young Women's Empowerment Center Community Based Residential Treatment Facility, Mental Illness 90 North 161 West, Young Women's Empowerment Center, Ephraim, UT 84627 2010-09-22
1245548742 Young Women's Empowerment Center Long Term 3 Community Based Residential Treatment Facility, Mental Illness 66 N. 180 W., Ephraim, UT 84627 2010-09-17
1073825402 Rachel Allen Social Worker 45 West 700 South, Ephraim, UT 84627 2010-07-14
1154490613 Lincare Inc. Durable Medical Equipment & Medical Supplies 728 N 50 E, Ephraim, UT 84627 2006-11-07
1477656452 Leland R Thompson Dentist 35 E 400 S, Ephraim, UT 84627 2006-09-06
1750312674 Ephraim City Corporation Ambulance 45 E Center St, Ephraim, UT 84627 2006-07-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497265383 Catherine Ann Leatham Counselor 66 N 180 W, Ephraim, UT 84627-2130 2017-10-05
1629419593 Maggi Leavitt Counselor 43 E 640 S, Ephraim, UT 84627-3029 2013-07-08
1457601353 Riley David Beck Counselor 390 E 100 S, Ephraim, UT 84627 2012-09-18
1730486887 Ralaina M Taylor Counselor 152 N 400 W, Ephraim, UT 84627-5549 2011-02-24
1598067647 Stephanie Irons Counselor 45 W 700 S, Ephraim, UT 84627 2010-11-23
1093921678 Francis Russell Beck Jr. Counselor 338 S 300 E, Ephraim, UT 84627-1420 2007-05-14
1053973685 Jonatan Lopez Mancilla Counselor 390 W 100 N, Ephraim, UT 84627-2131 2019-07-03
1962967232 Donnell Marie Johansen Counselor 152 N 400 W, Ephraim, UT 84627-5549 2019-01-31
1275016412 Elizabeth Hinckley Counselor 390 W 100 N, Ephraim, UT 84627-2131 2018-09-13
1285127522 Donna M Chester Counselor 45 West 700 South, Ephraim, UT 84627 2018-06-12
Find all providers in EPHRAIM

Competitor

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City EPHRAIM
Zip Code 84627

Improve Information

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Dataset Information

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.

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