Individual
DR. DAVID FREDERIC MANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4820
(262) 542-3255
(262) 542-0823
Mailing address
223 PECKS CT, WALWORTH, WI 53184-9664
(414) 702-0080
(262) 542-0823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2280-057
WI
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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