Search › Mississippi › 106H00000X
Martin Wildeman, LMFT
NPI 1033993936 · on the registry since 2023
Practice
- Address
- 113 Clark St Ste 1
Tupelo, MS 38804 - Phone
- (662) 205-0197
- Fax
- (662) 346-2821
- Organisation at this address
- Porchlight Marriage And Family Therapy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi