| Breanna Logan Mank, | |
|
1525 Locust St, Red Bud, IL 62278-1374 | |
| (618) 282-6251 | |
| Not Available |
| Full Name | Breanna Logan Mank |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 1525 Locust St, Red Bud, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104547702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 1383039 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Logan Mank, 605 S Benton St, New Athens, IL 62264-1608 Ph: (618) 550-9969 | Breanna Logan Mank, 1525 Locust St, Red Bud, IL 62278-1374 Ph: (618) 282-6251 |
Katelyn Houba, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 |
Renee Colquitt, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 |
Taylar Marie Mercille, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 |
Stacy Diekmann, SSP, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 |
Donna Yeargin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 |
Rachael Kay Carver, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 Fax: 618-282-6880 |
Linda Brumback, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Locust St, Red Bud, IL 62278 Phone: 618-282-6251 |