Doctor Name: | MS. KIMBERLY AN MARTINDALE |
NPI Number: | 1043626096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 424 E Main St Gallatin, TN - 370662913 |
Business Phone Number: | 6154420301 |
Business Fax Number: | |
Mailing Address: | 1159 Langwood Dr, GALLATIN |
State: | TN |
Postal Code: | 370664023 |
Phone Number: | 6155127538 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |