| Marc J Mann Phd | |
| 
					42 Morningside Dr Weatogue CT 06089-7956  | |
| (860) 329-6357 | |
| (860) 606-9678 | 
| Full Name | Marc J Mann Phd | 
|---|---|
| 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 42 Morningside Dr Weatogue CT 06089-7956 Ph: (860) 329-6357  | Marc J Mann Phd 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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