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Individual

DR. RAMASAMY MANIKAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
25 PROFESSIONAL WAY, SUITE 101, VERONA, VA 24482-2584
(540) 248-1006
(540) 248-1106
Mailing address
25 PROFESSIONAL WAY, SUITE 101, VERONA, VA 24482-2584
(540) 248-1006
(540) 248-1106

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
03316
MD
103TC0700X
Clinical Psychologist
Primary
03316
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
03316
MD

Other

Enumeration date
04/13/2012
Last updated
04/13/2012
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