IndividualActive
Candace Martin, PSY.D.
NPI 1114137080 · Psychologist · Fort Wayne, IN
Provider details
- NPI number
- 1114137080
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20040983A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6319 Constitution Dr
Fort Wayne, IN 46804-1547
Phone: (260) 432-4346
Fax: (260) 432-4860
Approximate (ZIP-level) locationGet directions
Mailing address
6319 Constitution Dr
Fort Wayne, IN 46804-1547
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.