Individual provider · Type 1 NPI

Martin Wildeman, LMFT

Marriage & Family Therapist · Tupelo, MS

NPI number 1033993936 Active

Practice location

113 Clark St Ste 1
Tupelo, MS 38804-4809

Fax (662) 346-2821

Mailing address

PO Box 132
Tupelo, MS 38802-0132

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XT11865 (MS)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1033993936

Martin Wildeman, LMFT's National Provider Identifier is 1033993936, issued on Aug 22, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tupelo, MS. The record was last updated on May 5, 2026.