| Martin L. Fleet, Ph.d., P.c. | |
|
1827 Powers Ferry Rd Se Building 22 Suite 200 Atlanta GA 30339-5621 | |
| (770) 953-4744 | |
| (770) 953-4640 |
| Full Name | Martin L. Fleet, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1827 Powers Ferry Rd Se, Atlanta, Georgia |
| Authorized Official Name and Position | Martin L Fleet (PRESIDENT) |
| Authorized Official Contact | 7709534744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin L. Fleet, Ph.d., P.c. 1827 Powers Ferry Rd Se Building 22 Suite 200 Atlanta GA 30339-5621 Ph: (770) 953-4744 | Martin L. Fleet, Ph.d., P.c. 1827 Powers Ferry Rd Se Building 22 Suite 200 Atlanta GA 30339-5621 Ph: (770) 953-4744 |
| NPI Number | 1538449384 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Medicare PECOS PAC ID | 9436329307 |
|---|---|
| Medicare Enrollment ID | O20110901000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538449384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY001154 (Georgia) | Primary |
| Provider Name | Martin L Fleet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699820712 PECOS PAC ID: 6709876014 Enrollment ID: I20040517001231 |
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