| Martin E Cleveland Phd Pllc | |
|
5 Brentmeade Cv Jackson TN 38305-6448 | |
| (901) 355-0688 | |
| Not Available |
| Full Name | Martin E Cleveland Phd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5 Brentmeade Cv, Jackson, Tennessee |
| Authorized Official Name and Position | Martin E Cleveland (OWNER) |
| Authorized Official Contact | 9013550688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin E Cleveland Phd Pllc 5 Brentmeade Cv Jackson TN 38305-6448 Ph: (901) 355-0688 | Martin E Cleveland Phd Pllc 5 Brentmeade Cv Jackson TN 38305-6448 Ph: (901) 355-0688 |
| NPI Number | 1275830887 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275830887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1078 (Tennessee) | Primary |
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