Martin, Carolyn C

Martin, Carolyn C is an sole proprietor health care provider with primary practice located at 8142 Country Village Dr # 102 , Cordova TN 38016-2029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Martin, Carolyn C can be contacted via phone (901) 388-1893.

Contact Information

Primary practice address
8142 Country Village Dr # 102 Cordova TN 38016-2029
Phone: (901) 388-1893
Fax: (901) 388-1995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X P1184 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X P1184 Tennessee

Profile Details

NPI number 1710906466
LBN Legal business name Martin, Carolyn C
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710906466 NPPES
Tennessee MEDICAID 3683378

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