Janice Dianne Martin in Clarksville - Clinical Child & Adolescent

Janice Dianne Martin - NPI 1417977802

Janice Dianne Martin is a Clinical Child & Adolescent in Clarksville, Tennessee. Janice Dianne Martin practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Janice Dianne Martin is 1417977802. The last update date is 2020-06-01.

Janice Dianne Martin's current location address is Po Box 30429, Clarksville, Tennessee. You can contact this provider via phone number 9315524171 and fax number 9315519485. The mailing address for Janice Dianne Martin is Po Box 30429, Clarksville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice Dianne Martin
Address Po Box 30429, Clarksville, Tennessee
Phone Number 9315524171
Fax Number 9315519485
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1417977802
Provider Enumeration Date 2006-07-20
Last Updated Date 2020-06-01

Provider Mailing Address Detail

Address Po Box 30429
City Clarksville
State Tennessee (TN)
Post Code 370400008
Phone Number 9315524171
Fax Number 9315519485

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2046
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Janice Dianne Martin

What is the unique provider identifier assigned to Janice Dianne Martin?

The Janice Dianne Martin has been issued the NPI (National Provider Identifier) 1417977802 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Janice Dianne Martin's facilities are geographically located?

The facilities of Janice Dianne Martin are physically situated at the following location: Po Box 30429, Clarksville, TN, 370400008.

What is the Janice Dianne Martin's specialty and taxonomy code?

The Janice Dianne Martin's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

When was the Janice Dianne Martin's 1417977802 issued?

The Janice Dianne Martin's 1417977802 was issued on 2006-07-20.

As of what date were the details related to Janice Dianne Martin most recently updated or revised?

The information pertaining to Janice Dianne Martin, including its address, specialty, and other relevant details, was last updated or revised on 2020-06-01.

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