Organization

Martin E Cleveland Phd Pllc

Clinical Psychologist in Jackson, TN(View on Map)

Legal Business Name

Martin E Cleveland Phd Pllc

NPI Number

1275830887

NPI Type

Organization

Enumeration Date

02/16/2011

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

1078

Contact
Information

Purpose

Mailing
Location

Address

5 BRENTMEADE CV
5 BRENTMEADE CV

City

Jackson
Jackson

State

TN
TN

Postal Code

38305-6448
38305-6448

Country

US
US

Telephone Number

(901) 355-0688
(901) 355-0688

Authorized Official

Name

Martin Cleveland

Title or Position

OWNER

Telephone Number

(901) 355-0688

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/16/2011

Provider Address

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