Individual
DR. MARY PAMELA MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1325 WINDSOR ST, HUNTSVILLE, TX 77340-5615
(936) 291-7928
(936) 294-0164
Mailing address
PO BOX 191, HUNTSVILLE, TX 77342-0191
(936) 291-7928
(938) 294-0164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705261-01
—
TX
Enumeration date
01/23/2007
Last updated
04/05/2010
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