Glenda G Manville in Lees Summit - Clinical
Glenda G Manville - NPI 1548293624
Glenda G Manville is a Clinical in Lees Summit, Missouri. Glenda G Manville practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenda G Manville is 1548293624. The last update date is 2007-07-08.
Glenda G Manville's current location address is 409 Se Douglas St, Lees Summit, Missouri. You can contact this provider via phone number 8165245818 and fax number 8165245819. The mailing address for Glenda G Manville is 409 Se Douglas St, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenda G Manville |
|---|---|
| Address | 409 Se Douglas St, Lees Summit, Missouri |
| Phone Number | 8165245818 |
| Fax Number | 8165245819 |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1548293624 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 409 Se Douglas St |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 64063 |
| Phone Number | 8165245818 |
| Fax Number | 8165245819 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PYD1612 |
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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 |
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What is the unique 10-digit identifier code assigned to Glenda G Manville by the Centers for Medicare & Medicaid Services?
The Glenda G Manville has been issued the NPI (National Provider Identifier) 1548293624 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Glenda G Manville's facilities are geographically located?
The facilities of Glenda G Manville are physically situated at the following location: 409 Se Douglas St, Lees Summit, MO, 64063.
What is Glenda G Manville's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenda G Manville is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548293624 to Glenda G Manville?
The Centers for Medicare & Medicaid Services assigned the 1548293624 to Glenda G Manville on 2006-07-09.
When was the information related to Glenda G Manville most recently updated or refreshed?
The details pertaining to the Glenda G Manville, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC