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DR. BREA ANN MANETTA PH.D. NPI 1932243011


NPI Information

NPI: 1932243011
Provider Name: DR. BREA ANN MANETTA, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
19 OLD TOWN SQ
FORT COLLINS, CO
ZIP 80524
Phone: (970) 391-0629
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DR. Brea Ann Manetta, PH.D. is a psychologist in Fort Collins, CO. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Brea Ann Manetta, PH.D. NPI is 1932243011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19 OLD TOWN SQ
FORT COLLINS, CO
ZIP 80524-471
Phone: (970) 391-0629
Fax: (970) 482-0251

The enumeration date for this NPI number is 2/20/2007 and was last updated on 10/23/2008.


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
1103T00000XPsychologist2568COLORADOYes

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
101707353MEDICAIDCOLORADO
2C446838MEDICARE PINCOLORADO
3018336OTHERCOLORADOVALUE OPTIONS
4MA658563OTHERCOLORADOBLUE CROSS
52270399OTHERCOLORADOCIGNA
67079467OTHERCOLORADOAETNA

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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