Doctor Name: | MANASA MUSUNURI |
NPI Number: | 1487929816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 45303 |
Business Practice Address: | 223 Carlton Davidson Ln Coal Grove, OH - 456382924 |
Business Phone Number: | 7405323048 |
Business Fax Number: | |
Mailing Address: | 305 N 5th St, IRONTON |
State: | OH |
Postal Code: | 456381578 |
Phone Number: | 7405324858 |
Fax Number: | 7405324859 |
NPI Enumeration Date: | 03/19/2012 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 45303 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |