Individual
KENNETH DAVID MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
112 POWERS RD, SUDBURY, MA 01776-1028
(978) 440-9123
(253) 648-9123
Mailing address
112 POWERS RD, SUDBURY, MA 01776-1028
(978) 440-9123
(253) 648-9123
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6452
MA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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