Dr Manuel Alexander Manrique, PHD, LP | |
22967 Outer Dr, Dearborn, MI 48124-4248 | |
(313) 561-9064 | |
(313) 563-4480 |
Full Name | Dr Manuel Alexander Manrique |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 30 Years |
Location | 22967 Outer Dr, Dearborn, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588710222 | NPI | - | NPPES |
5552704 | Other | MI | AETNA |
DR822439 | Other | MA | MCDR |
680H248190 | Other | MI | BLUE CROSS BLUE SHIELD |
680H248190 | Other | MI | PPOM |
680H248190 | Other | MI | MCTWF |
070564 | Other | MI | VALUE OPTIONS M-CARE |
070564 | Other | MI | BCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301008353 (Michigan) | Primary |
Entity Name | Michigan Modern Psychology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447701255 PECOS PAC ID: 6103162896 Enrollment ID: O20190117001322 |
Mailing Address | Practice Location Address |
---|---|
Dr Manuel Alexander Manrique, PHD, LP 22967 Outer Dr, Dearborn, MI 48124-4248 Ph: (313) 561-9064 | Dr Manuel Alexander Manrique, PHD, LP 22967 Outer Dr, Dearborn, MI 48124-4248 Ph: (313) 561-9064 |
Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657 | |
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750 | |
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653 | |
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053 |