DR. Nicole Lorin Mannis, PSY.D.

NPI #1588879191 in Bascom, Florida

Provider Information

NPI Number: 1588879191
Entity Type: Individual
Name: DR. Nicole Lorin Mannis, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: May 14, 2007
Last Updated: May 19, 2010

Practice Location

Address: 4689 TIMBERLANE RD
City: Bascom
State: Florida
ZIP Code: 32423-9425
Phone: (850) 557-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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