DR. CHARLES MANDA PHD NPI 1003481805

NPI Information

NPI: 1003481805
Provider Name: DR. CHARLES MANDA, PHD
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
24 REVIS RD
WEST LIBERTY, KY
ZIP 41472
Phone: (502) 436-3533
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DR. Charles Manda, PHD is a pastoral counselor in West Liberty, KY. DR. Charles Manda, PHD NPI is 1003481805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 REVIS RD
WEST LIBERTY, KY
ZIP 41472-818
Phone: (502) 436-3533

The enumeration date for this NPI number is 5/24/2021 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral	267057	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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