Organization
MARTIN L. FLEET, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN L. FLEET PH.D. (PRESIDENT)
(770) 953-4744
Entity
Organization
Contact information
Practice address
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200, ATLANTA, GA 30339-5621
(770) 953-4744
(770) 953-4640
Mailing address
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200, ATLANTA, GA 30339-5621
(770) 953-4744
(770) 953-4640
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
001154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00949088A
—
GA
Enumeration date
05/17/2007
Last updated
08/22/2020
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