Individual
JANICE DIANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1891 OLD TRENTON ROAD, CLARKSVILLE, TN 37040
(931) 552-4171
(931) 551-9485
Mailing address
PO BOX 30429, CLARKSVILLE, TN 37040-0008
(931) 552-4171
(931) 551-9485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2046
TN
103TC2200X
Clinical Child & Adolescent Psychologist
2046
TN
Other
Enumeration date
07/20/2006
Last updated
06/01/2020
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