Manulkin, Alisa J
Manulkin, Alisa J is an individual health care provider with primary practice located at 2012 Charrwood Way , Marietta GA 30062-8501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Manulkin, Alisa J can be contacted via phone (954) 655-7967.Contact Information
Primary practice address
2012 Charrwood Way
Marietta GA 30062-8501
Phone: (954) 655-7967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY5370 | Florida |
Profile Details
| NPI number | 1548298755 |
|---|---|
| LBN Legal business name | Manulkin, Alisa J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Feb 8th, 2022 - about 2 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 | 1548298755 | NPPES |
| Florida | MEDICAID | 7635907-00 |
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