| Marc J Mann Phd, Llc | |
|
42 Morningside Dr Weatogue CT 06089-7956 | |
| (860) 329-6357 | |
| (860) 606-9678 |
| Full Name | Marc J Mann Phd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 42 Morningside Dr, Weatogue, Connecticut |
| Authorized Official Name and Position | Judith R Mann (OFFICE MANAGER) |
| Authorized Official Contact | 8603296356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc J Mann Phd, Llc 42 Morningside Dr Weatogue CT 06089-7956 Ph: (860) 329-6357 | Marc J Mann Phd, Llc 42 Morningside Dr Weatogue CT 06089-7956 Ph: (860) 329-6357 |
| NPI Number | 1972159390 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972159390 | NPI | - | NPPES |
| 008032230 | Medicaid | CT | |
| 2064455939 | Other | CT | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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