Martin, Madelon Sullivan
Martin, Madelon Sullivan is an sole proprietor health care provider with primary practice located at 6952 Dogwood Mnr N , Olive Branch MS 38654-2090. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martin, Madelon Sullivan can be contacted via phone (662) 874-5232.Contact Information
Primary practice address
6952 Dogwood Mnr N
Olive Branch MS 38654-2090
Phone: (662) 874-5232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1345 | Mississippi |
Profile Details
| NPI number | 1821846387 |
|---|---|
| LBN Legal business name | Martin, Madelon Sullivan |
| Credentials | LPC, RPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2024 |
| Last updated | May 9th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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