Individual
DR. MARTHA ANN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
813-1 CHESAPEAKE DRIVE, CAMBRIDGE, MD 21613-9401
(410) 221-2266
(410) 221-2878
Mailing address
813-1 CHESAPEAKE DRIVE, CAMBRIDGE, MD 21613-9401
(410) 221-2266
(410) 221-2878
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0057706
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054707700
—
MD
05
—
479302100
—
MD
Enumeration date
09/19/2007
Last updated
01/16/2013
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