Individual
MISS MARTHA N ISHIEKWENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
140 DECATUR ST SE FL 11, ATLANTA, GA 30303-3204
(404) 413-6200
(404) 413-6207
Mailing address
PO BOX 5010, ATLANTA, GA 30302-5010
(404) 413-6200
(404) 413-6207
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
40665
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2021
Last updated
03/25/2026
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