Individual
DR. CAROLYN C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8142 COUNTRY VILLAGE DR # 102, CORDOVA, TN 38016-2029
(901) 388-1893
(901) 388-1995
Mailing address
8142 COUNTRY VILLAGE DR # 102, CORDOVA, TN 38016-2029
(901) 388-1893
(901) 388-1995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P1184
TN
103TC1900X
Counseling Psychologist
P1184
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3683378
—
TN
Enumeration date
07/19/2006
Last updated
07/27/2018
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