Individual
MARTHA JANE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
330 N GRAND AVE STE C, PULLMAN, WA 99163-2096
(754) 227-9480
Mailing address
2280 SWAN RD, DANSVILLE, MI 48819-9761
(754) 227-9480
(754) 600-3727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019193
MI
103T00000X
Psychologist
PSY-203803
ID
103T00000X
Psychologist
Primary
PY61144443
WA
Other
Enumeration date
06/04/2014
Last updated
08/04/2026
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