Dr. Leland Karl Martin
Clinical Psychologist
10560 Wayzata Blvd
Minnetonka
, Minnesota 55305-1524
Dr. Leland Karl Martin
Clinical Psychologist
10560 Wayzata Blvd
Minnetonka
, Minnesota 55305-1524
(952) 595-0564
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Leland Karl Martin
- 10560 Wayzata Blvd
- Minnetonka, MN
- Zip : 55305-1524
- Fax : (952) 595-0564
- Phone : (952) 595-0562
Second Address
- Dr. Leland Karl Martin
- 10560 Wayzata Blvd
- Minnetonka, MN
- Zip : 55305-1524
- Fax : (952) 595-0564
- Phone : (952) 595-0562
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | LP3095 | MN |
| Y | 103TC0700X | Clinical Psychologist | LP3095 | MN |
National Provider Identifier
| NPI | 1003855743 |
|---|---|
| Provider Name | Dr. Leland Karl Martin |
| First Address | Minnetonka, MN 55305-1524 |
| Second Address | Minnetonka, MN 55305-1524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 109951 | BEHAVIORAL HEALTH CARE PR (01) | MN |
| 169220 | COMPSYCH (01) | MN |
| 5H813MA | BLUE CROSS BLUE SHIELD (01) | MN |
| 6129689 | UNITED BEHAVIORAL HEALTH (01) | MN |
| HP27418 | HEALTH PARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.