| Shannon Manley, | |
|
3901 S Atherton St Ste 5, State College, PA 16801-8324 | |
| (814) 466-7921 | |
| (814) 466-6570 |
| Full Name | Shannon Manley |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 3901 S Atherton St Ste 5, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487169835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS019573 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | PS019573 (Pennsylvania) | Primary |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Manley, 3901 S Atherton St Ste 5, State College, PA 16801-8324 Ph: (814) 466-7921 | Shannon Manley, 3901 S Atherton St Ste 5, State College, PA 16801-8324 Ph: (814) 466-7921 |
Lawrence T. Clayton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 315 S Allen St, Suite 218, State College, PA 16801 Phone: 814-234-3010 Fax: 814-234-2170 | |
Dr. Michael J Cawley Iii, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 113 Cherry Ridge Rd, State College, PA 16803 Phone: 814-234-9699 | |
Wendy J Moran, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 229 W Foster Ave, State College, PA 16801 Phone: 814-238-1880 Fax: 814-867-9764 | |
Mrs. Melissa D Hunter, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 320 Rolling Ridge Dr, Suite 100, State College, PA 16801 Phone: 814-867-0670 Fax: 814-867-7616 | |
Dr. Scott J Scotilla, PSYD ICAADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1315 S Allen St Ste 303, State College, PA 16801 Phone: 814-867-2866 Fax: 866-283-4558 | |
Barry R. Brink, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Radnor Rd, Suite 101, State College, PA 16801 Phone: 814-867-0670 Fax: 814-867-7616 | |
Dennis E Heitzmann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 315 S Allen St, 218, State College, PA 16801 Phone: 814-234-3010 Fax: 814-234-2170 |