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NPI Profile for Dr MATTHEW B MANIS in WAXAHACHIE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1215360490 |
|
| Status | Active | |
| Credentials | PHD., BA., CLC | |
| Entity | Individual | |
| Enumeration date | 08/12/2013 | |
| Last updated | 08/12/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MATTHEW B MANIS
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MATTHEW B MANIS, PHD., BA., CLC