Individual
DR. STEPHANIE MANASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3201 CHESTNUT ST, PHILADELPHIA, PA 19104-3370
(215) 553-7157
Mailing address
3141 CHESTNUT ST STE 119, PHILADELPHIA, PA 19104-2816
(510) 520-6362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018802
PA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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