Individual
DR. ALLYSEN MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
130 5TH AVE, NEW YORK, NY 10011-4306
(917) 293-7734
(212) 806-0706
Mailing address
570 WESTMINSTER RD, BROOKLYN, NY 11230-1448
(917) 293-7734
(212) 806-0706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016492
NY
Other
Enumeration date
02/11/2006
Last updated
07/12/2007
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