Bradley A Manning in Pasadena - Clinical

Bradley A Manning - NPI 1801091889

Bradley A Manning is a Clinical in Pasadena, California. Bradley A Manning practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bradley A Manning is 1801091889. The last update date is 2007-07-08.

Bradley A Manning's current location address is 595 East Colorado Blvd., Suite 635, Pasadena, California. You can contact this provider via phone number 6267970305 and fax number 3103988303. The mailing address for Bradley A Manning is 595 East Colorado Blvd., Suite 635, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley A Manning
Address 595 East Colorado Blvd., Suite 635, Pasadena, California
Phone Number 6267970305
Fax Number 3103988303
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1801091889
Provider Enumeration Date 2007-06-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 595 East Colorado Blvd., Suite 635
City Pasadena
State California (CA)
Post Code 911012032
Phone Number 6267970305
Fax Number 3103988303

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY 7354
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY 073540 CA --

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FAQs about Bradley A Manning

What is the unique identification code assigned to Bradley A Manning by the Centers for Medicare & Medicaid Services?

The Bradley A Manning has been issued the NPI (National Provider Identifier) 1801091889. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bradley A Manning is physically located?

The Bradley A Manning is situated at the following address: 595 East Colorado Blvd., Suite 635, Pasadena, CA 911012032.

What is Bradley A Manning's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bradley A Manning is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did Bradley A Manning receive its 1801091889 assignment from the Centers for Medicare & Medicaid Services?

The Bradley A Manning was assigned its 1801091889 on 2007-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Bradley A Manning, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bradley A Manning, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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