Individual
JEFFERY SCOTT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1025 FEMOYER ST BLDG 10908, JBSA LACKLAND, TX 78236
(253) 982-1127
Mailing address
1025 FEMOYER ST BLDG 10908, JBSA LACKLAND, TX 78236-5443
(253) 982-1127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1903
AL
Other
Enumeration date
12/22/2014
Last updated
05/30/2018
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