| Jeffry Manasse & Assoc Pc | |
|
608 S Washington St Ste 200 Jeffry Manasse & Assoc Pc Naperville IL 60540 | |
| (630) 305-0075 | |
| (630) 305-3660 |
| Full Name | Jeffry Manasse & Assoc Pc |
|---|---|
| Speciality | Psychologist |
| Location | 608 S Washington St, Naperville, Illinois |
| Authorized Official Name and Position | Jeffry Irwin Manasse (PRESIDENT PSYCHOLOGIST) |
| Authorized Official Contact | 6303050075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffry Manasse & Assoc Pc 608 S Washington St Ste 200 Jeffry Manasse & Assoc Pc Naperville IL 60540 Ph: (630) 305-0075 | Jeffry Manasse & Assoc Pc 608 S Washington St Ste 200 Jeffry Manasse & Assoc Pc Naperville IL 60540 Ph: (630) 305-0075 |
| NPI Number | 1770591992 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042319618 |
|---|---|
| Medicare Enrollment ID | O20070621000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770591992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jeffry I Manasse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568470771 PECOS PAC ID: 4587763156 Enrollment ID: I20070621000687 |
| Provider Name | Buffy J Cramer Hammann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821012873 PECOS PAC ID: 1759480320 Enrollment ID: I20070621000698 |
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