Individual
JOHN MERRILL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4076 NEELY ROAD, ATTN: DEPT OF BEHAVIORAL HEALTH, FORT WAINWRIGHT, AK 99703
(435) 512-1444
Mailing address
3551 ROGER BROOKE DR, ATTN: INTERNAL MEDICINE RESIDENCY, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-3910
(210) 916-2077
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
659
WY
Other
Enumeration date
12/16/2016
Last updated
01/08/2019
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