Doctor Name: | MS. PENNY S. MANNING |
NPI Number: | 1114100716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 2227847 |
Business Practice Address: | 3s331 Williams Rd Warrenville, IL - 605552742 |
Business Phone Number: | 6303990440 |
Business Fax Number: | 6303931979 |
Mailing Address: | 3s331 Williams Rd, WARRENVILLE |
State: | IL |
Postal Code: | 605552742 |
Phone Number: | 6303990440 |
Fax Number: | 6303931979 |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2227847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |