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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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