| Doctor Name: | MRS. DIANE DONLEY MANKUS |
| NPI Number: | 1053305904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCC, LGPC |
| License Number: | LGP114 |
| Business Practice Address: | 8203 Harford Rd Parkville, MD - 212345888 |
| Business Phone Number: | 8004915369 |
| Business Fax Number: | |
| Mailing Address: | 5301 Sovereign Pl, FREDERICK |
| State: | MD |
| Postal Code: | 217038381 |
| Phone Number: | 3016200353 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | LGP114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |