Individual
MADELINE CLAIRE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-9669
Mailing address
32 WHITING ST, PLYMOUTH, MA 02360-2919
(781) 724-9348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5000352
MA
Other
Enumeration date
10/24/2018
Last updated
08/07/2024
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