Martin, Clinton Wallace

Martin, Clinton Wallace is an individual health care provider with primary practice located at 400 Veterans Ave (116B), Biloxi MS 39531-2410. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, Clinton Wallace can be contacted via phone (228) 523-5750.

Contact Information

Primary practice address
400 Veterans Ave (116B) Biloxi MS 39531-2410
Phone: (228) 523-5750
Fax: (228) 523-4754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22 274 Mississippi

Profile Details

NPI number 1245254176
LBN Legal business name Martin, Clinton Wallace
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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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