Individual
STEVEN B MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3505 RICHVILLE RD, STE B, MANCHESTER CENTER, VT 05255-9812
(802) 865-4500
(802) 865-4800
Mailing address
3505 RICHVILLE RD, STE B, MANCHESTER CENTER, VT 05255-9812
(802) 865-4500
(802) 865-4800
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
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