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DAN L. MANZANARES PSYD PC NPI 1346530631


NPI Information

NPI: 1346530631
Provider Name: DAN L. MANZANARES, PSYD, PC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4770 E ILIFF AVE
102
DENVER, CO
ZIP 80222
Phone: (303) 757-3352
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DAN L. MANZANARES, PSYD, PC is a mental health (including community mental health center) clinic center in Denver, CO. DAN L. MANZANARES, PSYD, PC NPI is 1346530631. The provider is registered as an organization entity type.

The provider's business location address is:

4770 E ILIFF AVE
102
DENVER, CO
ZIP 80222-061
Phone: (303) 757-3352
Fax: (303) 757-7994

The provider's authorized official is Dan L Manzanares .
The authorized official title is Clinical Psychologist and has the following contact phone number (303) 757-3352.

The enumeration date for this NPI number is 4/8/2011 and was last updated on 4/8/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1070COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
189116MEDICARE UPINCOLORADO
207106636MEDICAIDCOLORADO

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

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