MS. BARBARA S MANALIS


Address: 1101 Dove Street, Suite 150, Newport Beach, CA 92660
Phone: 9494762036

MS. BARBARA S MANALIS (NPI# 1851594782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851594782
Entity Type Individual
Full Name MS. BARBARA S MANALIS
Credential LCSW LCS6763
Practice Address 1101 Dove Street
Suite 150
Newport Beach
CA 92660
Mailing Address 1101 Dove Street
# 150
Newport Beach
CA 92660
Practice Telephone 9494762036
Mailing Telephone 9494762036
Enumeration Date 2007-06-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
LCS6763 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1101 DOVE STREET
SUITE 150
City NEWPORT BEACH
State CA
Zip Code 92660

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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Competitor

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City NEWPORT BEACH
Zip Code 92660

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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