Manetta, Brea Ann
Manetta, Brea Ann is an sole proprietor health care provider with primary practice located at 19 Old Town Sq , Fort Collins CO 80524-2471. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Manetta, Brea Ann can be contacted via phone (970) 391-0629.Contact Information
Primary practice address
19 Old Town Sq
Fort Collins CO 80524-2471
Phone: (970) 391-0629
Fax: (970) 482-0251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2568 | Colorado |
Profile Details
| NPI number | 1932243011 |
|---|---|
| LBN Legal business name | Manetta, Brea Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Oct 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932243011 | NPPES |
| Colorado | Other | 018336 | VALUE OPTIONS |
| Colorado | Other | 2270399 | VALUE OPTIONS |
| Colorado | Other | MA658563 | VALUE OPTIONS |
| Colorado | MEDICAID | 01707353 | VALUE OPTIONS |
| Colorado | Other | 7079467 | VALUE OPTIONS |
Popular Providers
-
Bjork, Debra F
300 Boardwalk Dr Unit 5A, Fort Collins CO 80525-3070 -
Sutherland, Martha Steve
19 Old Town Sq Ste 238 , Fort Collins CO 80524-2471 -
Macquiddy, Susan Lynn
323 W Drake Rd Suite 124, Fort Collins CO 80526-8115 -
Gingerich, Karla Jane
3351 Eastbrook Dr , Fort Collins CO 80525-5744 -
Gray, Jennifer
300 Boardwalk Dr Bldg 5A, Fort Collins CO 80525-3070 -
Tharp, Ann M
Poudre Valley Health Care, Inc - Mountain Crest 4601 Corbett Drive, Fort Collins CO 80528 -
Glasser, Jeffrey
300 Boardwalk Dr Bldg 5A, Fort Collins CO 80525-3070 -
Miller, Abbie D
2950 E Harmony Rd Ste 190 , Fort Collins CO 80528-3430