Dr Nicole Lorin Mannis, PSYD | |
4689 Timberlane Rd, Bascom, FL 32423-9425 | |
(850) 557-7575 | |
Not Available |
Full Name | Dr Nicole Lorin Mannis |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 4689 Timberlane Rd, Bascom, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588879191 | NPI | - | NPPES |
491469300 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 8081 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Lorin Mannis, PSYD 4689 Timberlane Rd, Bascom, FL 32423-9425 Ph: (850) 557-7575 | Dr Nicole Lorin Mannis, PSYD 4689 Timberlane Rd, Bascom, FL 32423-9425 Ph: (850) 557-7575 |
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