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Individual
DR. TIMOTHY DONALD MCMANUS
Active
Individual
DR. TIMOTHY DONALD MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
103TH0004X
Health Psychologist
—
IL
103TR0400X
Rehabilitation Psychologist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2207287
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/11/2007
Last updated
10/27/2007
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