Mccoy, Donald Martin

Mccoy, Donald Martin is an sole proprietor health care provider with primary practice located at 1120 Glendale Ln , Nashville TN 37204-4113. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccoy, Donald Martin can be contacted via phone (615) 907-1833.

Contact Information

Primary practice address
1120 Glendale Ln Nashville TN 37204-4113
Phone: (615) 907-1833
Fax: (615) 907-7365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2172 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2172 Tennessee

Profile Details

NPI number 1568545416
LBN Legal business name Mccoy, Donald Martin
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated May 23rd, 2019 - about 7 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 1568545416 NPPES
Tennessee MEDICAID 3981230

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