Holly Manning in Providence - Clinical Child & Adolescent

Holly Manning - NPI 1588792790

Holly Manning is a Clinical Child & Adolescent in Providence, Rhode Island. Holly Manning practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Holly Manning is 1588792790. The last update date is 2019-02-11.

Holly Manning's current location address is 117 Ellenfield St Ste 101, Providence, Rhode Island. You can contact this provider via phone number 4014446779 and fax number 4014446912. The mailing address for Holly Manning is 117 Ellenfield St Ste 101, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly Manning
Address 117 Ellenfield St Ste 101, Providence, Rhode Island
Phone Number 4014446779
Fax Number 4014446912
Sole Proprietor N
Credentials PH.D

NPI Number Detail

NPI Number 1588792790
Provider Enumeration Date 2007-03-01
Last Updated Date 2019-02-11

Provider Mailing Address Detail

Address 117 Ellenfield St Ste 101
City Providence
State Rhode Island (RI)
Post Code 29054513
Phone Number 4014446779
Fax Number 4014446912

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PS00825
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PS00825 RI MEDICAL LICENSE

Post Comment/ Review Below

FAQs about Holly Manning

What is the unique provider identifier assigned to Holly Manning?

The Holly Manning has been issued the NPI (National Provider Identifier) 1588792790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Holly Manning's facilities are geographically located?

The facilities of Holly Manning are physically situated at the following location: 117 Ellenfield St Ste 101, Providence, RI, 29054513.

What is the area of specialization for Holly Manning, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Holly Manning is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date did the Holly Manning receive its 1588792790 assignment from the Centers for Medicare & Medicaid Services?

The Holly Manning was assigned its 1588792790 by the Centers for Medicare & Medicaid Services on 2007-03-01.

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

The information related to Holly Manning, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-11.

Other Providers of Clinical Child & Adolescent
Arlene Beth Staubsinger

Address: Po Box 2333, Clay, NY

Alicia Perry

Address: 11541 County Road 1, Fairhope, AL

Efrain Segarra

Address: 5557 Carys Brook Ln, Gloucester, VA

Lynne Reed

Address: Po Box 2356, Guerneville, CA

Stan Heck

Address: 176 Barnwood Dr, Edgewood, KY

Roderick Seites Hall

Address: 1224 10th St, Coronado, CA

Robert M Gordon

Address: 1259 S Cedar Crest Blvd, Allentown, PA

Douglas Michael Buyer

Address: 1438 W 38th St, Erie, PA

Lifestream Behavioral Center Inc

Address: Po Box 491000, Leesburg, FL

The Network For Behavior Change

Address: 848 W Kings Hwy, Coatesville, PA

Steven Albert Kossor

Address: 848 W Kings Hwy, Coatesville, PA

Leslie Anne Savage

Address: 1191 Nw Tahoe Lane, Silverdale, WA

Angela Marquis Sims

Address: 2022 Fifteenth Avenue, Columbus, GA

Marolyn E Morford

Address: 1315 W College Ave, State College, PA

James K Childerston

Address: 1146 Opal Ct, Hagerstown, MD