Organization
MANATEE CARE P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMAYANTI DIPAYANA (DIRECTOR)
(646) 945-8900
Entity
Organization
Contact information
Practice address
4925 S BROADWAY AVE UNIT 8181, WICHITA, KS 67216-3716
(213) 558-4348
Mailing address
3355 HUDSON ST UNIT 7517, DENVER, CO 80207-7523
(213) 558-4348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
01/17/2024
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