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Contact Information

MARTHA MABONE
5810 SHELBY OAKS DR
MEMPHIS, TN38134-7315
 Phone: 901-648-9354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Counselor

101Y00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

School

101YS0200X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARTHA MABONE · (Female)

NPI # 1821742313
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2022
Last updated 02/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TN Medicaid 87433703
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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