Organization
DAN L. MANZANARES, PSYD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN L MANZANARES PSYD (CLINICAL PSYCHOLOGIST)
(303) 757-3352
Entity
Organization
Contact information
Practice address
4770 E ILIFF AVE, 102, DENVER, CO 80222-6061
(303) 757-3352
(303) 757-7994
Mailing address
4770 E ILIFF AVE, 102, DENVER, CO 80222-6061
(303) 757-3352
(303) 757-7994
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1070
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07106636
—
CO
Enumeration date
04/08/2011
Last updated
04/08/2011
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