Individual
DR. MARIA MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
(219) 864-2282
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 865-8988
(317) 859-8590
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01064356A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01064356A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01064356A
STATE LICENSE
IN
01
—
PENDING
MEDICARE PTAN
IN
Enumeration date
08/03/2006
Last updated
04/05/2016
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