Woon, Martin
Woon, Martin is an individual health care provider with primary practice located at 700 W Forest Ave Ste 200 , Jackson TN 38301-3940. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Woon, Martin can be contacted via phone (731) 541-9490.Contact Information
Primary practice address
700 W Forest Ave Ste 200
Jackson TN 38301-3940
Phone: (731) 541-9490
Fax: (731) 541-9486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 36320 | Texas |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3982 | Tennessee |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 36320 | Texas |
Profile Details
| NPI number | 1902156755 |
|---|---|
| LBN Legal business name | Woon, Martin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2012 |
| Last updated | Jan 3rd, 2024 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902156755 | NPPES |
| Tennessee | MEDICAID | Q086560 |
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