Marc J Mann PHD
Organization Active NPI Clinical Psychologist · Weatogue, CT
NPI 1972159390 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1972159390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- MARC J MANN PHD
- Practice address
- 42 Morningside Dr
Weatogue, CT 06089-7956 - Phone
- (860) 329-6357
- Fax
- (860) 606-9678
- NPI assigned
- Aug 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Judith R Mann, MS
- Title
- Office Manager
- Phone
- (860) 329-6356
Practitioners 1
-
Marc Jeffrey Mann, PHD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
42 Morningside Dr
Weatogue, CT 06089-7956
Mailing address
42 Morningside Dr
Weatogue, CT 06089-7956
Phone (860) 329-6357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008032230 | Medicaid | CT | |
| 2064455939 | Other | CT | ANTHEM |
Other names
- MARC J MANN PHD, LLC
Other providers in Weatogue, CT
- Angela Kennedy
- Sydney Ladenheim
- Elizabeth Langevin
- Live Every Day
- Susan H Lynch
- Mitra Marvasti-Sitterly
- Madelaine Rose McCarthy
- Kaitlyn McIsaac
- Isabela Miani
- Mary Monahan
All providers in Weatogue, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.