Individual
DR. CARLA MARIE MANLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
405 CHINN ST STE 102, SANTA ROSA, CA 95404-4311
(707) 236-0012
Mailing address
2751 4TH ST, PMB #171, SANTA ROSA, CA 95405-4726
(707) 236-0012
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 25539
CA
Other
Enumeration date
04/04/2011
Last updated
01/05/2022
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