Mani, Tanja

Mani, Tanja is an individual health care provider with primary practice located at 12600 Creekside Ln Ste 7 , Fort Myers FL 33919-3353. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Mani, Tanja can be contacted via phone (239) 343-9220.

Contact Information

Primary practice address
12600 Creekside Ln Ste 7 Fort Myers FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY7833 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY7833 Florida

Profile Details

NPI number 1972756005
LBN Legal business name Mani, Tanja
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Feb 27th, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972756005 NPPES
Florida MEDICAID 105805000

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