Organization
BLUE SKY PSYCHOLOGICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN SKY MANNING PSYD (OWNER)
(718) 268-6600
Entity
Organization
Contact information
Practice address
2459 IXORA AVE, SARASOTA, FL 34234-7328
(941) 544-5235
Mailing address
PO BOX 750834, FOREST HILLS, NY 11375-0834
(718) 268-6600
(718) 268-6065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY6161
PROFESSIONAL LICENSE
FL
Enumeration date
04/06/2015
Last updated
04/06/2015
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