Individual
DR. CARLYE MANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-7833
Mailing address
9 ELM DR, EASTON, CT 06612-1142
(917) 841-5518
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4039
CT
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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