Individual
MICHELLE MANASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
910 S CHAPEL ST, STE 102, NEWARK, DE 19713-3467
(302) 224-1400
Mailing address
910 S CHAPEL ST, STE 102, NEWARK, DE 19713-3467
(302) 224-1400
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
B1-0001005
DE
103G00000X
Clinical Neuropsychologist
PS017616
PA
103TC0700X
Clinical Psychologist
Primary
B1-0001005
DE
103TC0700X
Clinical Psychologist
PS017616
PA
103TR0400X
Rehabilitation Psychologist
B1-0001005
DE
103TR0400X
Rehabilitation Psychologist
PS017616
PA
Other
Enumeration date
01/13/2012
Last updated
02/12/2015
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