Individual provider · Type 1 NPI

Mary Beth Manley, BA

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1992947071 Active

Practice location

238 Jewett Ave
Bridgeport, CT 06606-2845

Call (203) 372-4301 Map

Fax (203) 373-0835

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992947071

Mary Beth Manley, BA's National Provider Identifier is 1992947071, issued on Apr 3, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 3, 2009.