Tracey Denise Manigault, MA, CSP is a
Psychologist - School based in Phoenix, Arizona. Tracey Denise Manigault is licensed to practice in Arizona (license number 4241632) and her current practice location is
8900 N Central Ave Ste 108f, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 206-1766.
NPI number for Tracey Denise Manigault is 1386171650 and her current mailing address is 9224 N 2nd Ave, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386171650.
Healthcare Provider's Profile
| Full Name | Tracey Denise Manigault |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 8900 N Central Ave Ste 108f, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386171650
- Provider Enumeration Date: 05/17/2017
- Last Update Date: 07/27/2024
Medical Identifiers
Medical identifiers for Tracey Denise Manigault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386171650 | NPI | - | NPPES |
| 4241632 | Other | AZ | CERTIFIED SCHOOL PSYCHOLOGIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 4241632 (Arizona) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | 4241632 (Arizona) | Primary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Secondary |
| 374700000X | Technician | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Denise Manigault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracey Denise Manigault, MA, CSP
9224 N 2nd Ave,
Phoenix, AZ 85021-3504
Ph: () - | Tracey Denise Manigault, MA, CSP
8900 N Central Ave Ste 108f,
Phoenix, AZ 85020-2869
Ph: (928) 206-1766 |
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