| Manifest Psychology, Inc. | |
|
900 Se Ocean Blvd Ste 250f Stuart FL 34994-3501 | |
| (772) 242-9950 | |
| (754) 206-1978 |
| Full Name | Manifest Psychology, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 900 Se Ocean Blvd Ste 250f, Stuart, Florida |
| Authorized Official Name and Position | Laura Goldman (PRESIDENT) |
| Authorized Official Contact | 7722429950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifest Psychology, Inc. 900 Se Ocean Blvd Ste 250f Stuart FL 34994-3501 Ph: (772) 242-9950 | Manifest Psychology, Inc. 900 Se Ocean Blvd Ste 250f Stuart FL 34994-3501 Ph: (772) 242-9950 |
| NPI Number | 1487200168 |
|---|---|
| Provider Enumeration Date | 08/17/2019 |
| Last Update Date | 05/15/2022 |
| Certification Date | 05/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487200168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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