Martin, Phyllis Jean

Martin, Phyllis Jean is an individual health care provider with primary practice located at 647 34Th Ave S , Saint Petersburg FL 33705-3730. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martin, Phyllis Jean can be contacted via phone (727) 824-5745.

Contact Information

Primary practice address
647 34Th Ave S Saint Petersburg FL 33705-3730
Phone: (727) 824-5745
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1275967028
LBN Legal business name Martin, Phyllis Jean
Credentials BA, CPRP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Aug 29th, 2013 - about 13 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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