| Ann-marie Manning Psychotherapy Practice | |
|
10 Boulder Crescent St Ste 102f Colorado Springs CO 80903-3345 | |
| (719) 393-5673 | |
| Not Available |
| Full Name | Ann-marie Manning Psychotherapy Practice |
|---|---|
| Speciality | Social Worker |
| Location | 10 Boulder Crescent St Ste 102f, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ann-marie Manning (SOLE PROPIETER) |
| Authorized Official Contact | 7193935673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann-marie Manning Psychotherapy Practice Po Box 713 Colorado Springs CO 80901-0713 Ph: (719) 393-5673 | Ann-marie Manning Psychotherapy Practice 10 Boulder Crescent St Ste 102f Colorado Springs CO 80903-3345 Ph: (719) 393-5673 |
| NPI Number | 1114381852 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/08/2016 |
| Medicare PECOS PAC ID | 2466751136 |
|---|---|
| Medicare Enrollment ID | O20160502000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114381852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09924307 (Colorado) | Primary |
| Provider Name | Ann-marie Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578925954 PECOS PAC ID: 7618276387 Enrollment ID: I20160502000602 |
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