NPI 1033993936

Martin Wildeman, LMFT

Practitioner Marriage & Family Therapist Tupelo, MS

Practice location

Address: 113 Clark St STE 1, Tupelo, MS 38804-4809
Phone: (662) 205-0197
Fax: (662) 346-2821
Mailing address: PO Box 132, Tupelo, MS 38802-0132

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T11865 (MS)

Other Marriage & Family Therapist providers in Mississippi →

Registry record

NPI: 1033993936
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2023
Record last updated: 5 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.