Individual
CHARLES STEVEN MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4100 FAIRWAY DR, STE. 200, CARROLLTON, TX 75010-6525
(972) 221-1741
(972) 428-2043
Mailing address
4100 FAIRWAY DR, STE. 200, CARROLLTON, TX 75010-6525
(972) 221-1741
(972) 428-2043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23213
LICENSE
TX
Enumeration date
01/22/2007
Last updated
05/10/2012
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