Organization
JACK MANNHEIMER MD PC
Active
Organization
JACK MANNHEIMER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCLAUGHLIN (OFFICE MANAGER)
(412) 469-8220
Entity
Organization
Contact information
Practice address
500 N LEWIS RUN RD STE 129, WEST MIFFLIN, PA 15122-3058
(412) 469-8220
(412) 469-9365
Mailing address
500 N LEWIS RUN ROAD 129, WEST MIFFLIN, PA 15122
(412) 469-8220
(412) 469-9365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553217
—
PA
Enumeration date
09/21/2006
Last updated
03/11/2013
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