| Dr. Kenneth J. Manges & Associates, Inc. | |
|
810 Sycamore St Suite 100 Cincinnati OH 45202-2155 | |
| (513) 784-1333 | |
| (513) 338-1920 |
| Full Name | Dr. Kenneth J. Manges & Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 810 Sycamore St, Cincinnati, Ohio |
| Authorized Official Name and Position | Kenneth J. Manges (OWNER) |
| Authorized Official Contact | 5137841333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kenneth J. Manges & Associates, Inc. 810 Sycamore St Suite 100 Cincinnati OH 45202-2155 Ph: (513) 784-1333 | Dr. Kenneth J. Manges & Associates, Inc. 810 Sycamore St Suite 100 Cincinnati OH 45202-2155 Ph: (513) 784-1333 |
| NPI Number | 1649227703 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 11/15/2010 |
| Medicare PECOS PAC ID | 9335150572 |
|---|---|
| Medicare Enrollment ID | O20090917000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649227703 | NPI | - | NPPES |
| 0638859 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3656 (Ohio) | Primary |
| Provider Name | Kenneth J Manges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104879394 PECOS PAC ID: 1052322294 Enrollment ID: I20060602000075 |
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