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Contact Information

MICHELLE M. MANASSERI PSYD LLC
910 S CHAPEL ST
STE 201
NEWARK, DE19713-3467
 Phone: 302-224-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHELLE M. MANASSERI PSYD LLC

NPI Number 1295139251
LBN Legal business name MICHELLE M. MANASSERI PSYD LLC
Authorized official MICHELLE MANASSERI - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2014
Last updated 02/13/2015 - About 11 years ago
Identifiers
DE License # B1-0001005
PA License # PS017616
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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