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EDWARD MANNING PH.D.

Clinical Neuropsychologist

Jackson, Mississippi

Provider NPI: 1689689010

Provider Information:
 EDWARD  MANNING PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
2500 NORTH STATE STREET DEPT OF NEUROLOGY JACKSON, MS 39216 US
Tel: 601-984-5500  Fax: 601-984-5499

Business Mailing Address:
PO BOX 11407 DEPT # 2130 BIRMINGHAM, AL 35246 US
Tel: 601-984-5500  Fax: 601-984-5499

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MS25-324

Other Provider Identifiers:

IssuerNumberStateType
1676608LA05
0110219MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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