Doctor Name: | MS. LAURA J MANNING |
NPI Number: | 1184763138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 11360 |
Business Practice Address: | 5905 Soquel Dr Ste 650 Soquel, CA - 950732862 |
Business Phone Number: | 8314212767 |
Business Fax Number: | 8314766360 |
Mailing Address: | 5905 Soquel Dr Ste 650, SOQUEL |
State: | CA |
Postal Code: | 950732862 |
Phone Number: | 8314212767 |
Fax Number: | 8314766360 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 01/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 11360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |