Individual
MS. MARTHANNE OLIVIA MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
637 SAYRE AVE, LEXINGTON, KY 40508-2317
(859) 269-1333
(859) 259-1301
Mailing address
637 SAYRE AVE, LEXINGTON, KY 40508-2317
(859) 269-1333
(859) 259-1301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY90
KY
106H00000X
Marriage & Family Therapist
KY0418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331312
ANTHEM BCBS
KY
01
—
7573591
AETNA
—
Enumeration date
05/25/2006
Last updated
06/14/2011
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