DR. Manuel L. Medina, PH.D.

NPI #1740345404 in Eloy, Arizona

Provider Information

NPI Number: 1740345404
Entity Type: Individual
Name: DR. Manuel L. Medina, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PH.D.
Enumeration Date: Dec 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4020 N ZAPOTEC AVE
City: Eloy
State: Arizona
ZIP Code: 85231-1160
Phone: (520) 464-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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