Individual
STEVEN B MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000217
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006573
—
VT
Enumeration date
03/14/2006
Last updated
04/23/2016
Update your record
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