Individual
MARTIN WOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
700 W FOREST AVE STE 200, JACKSON, TN 38301-3940
(731) 541-9490
(731) 541-9486
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 512-1283
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
36320
TX
103G00000X
Clinical Neuropsychologist
Primary
3982
TN
103T00000X
Psychologist
36320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q086560
—
TN
Enumeration date
09/19/2012
Last updated
01/03/2024
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