Individual
DR. GLENN ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5583 MURRAY RD, SUITE 210, MEMPHIS, TN 38119-3841
(901) 682-7388
(901) 682-7016
Mailing address
4416 MINDEN RD, MEMPHIS, TN 38117-2420
(901) 761-4787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P 1921
TN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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