IndividualActive
Brian Martin, M.S.
NPI 1306557236 · School Psychologist · Tooele, UT
Provider details
- NPI number
- 1306557236
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 544087 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
92 Lodestone Way
Tooele, UT 84074-8050
Phone: (435) 833-1900
Approximate (ZIP-level) locationGet directions
Mailing address
92 Lodestone Way
Tooele, UT 84074-8050
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.