Individual
MICHAEL PATRICK MANIACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
333 N MICHIGAN AVE, SUITE 602, CHICAGO, IL 60601-3901
(312) 658-1315
Mailing address
333 N MICHIGAN AVE, SUITE 602, CHICAGO, IL 60601-3901
(312) 658-1315
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004371
IL
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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