Provider Demographics
NPI:1093912065
Name:MCMANUS, INGRID ANGELA (LCSW AND MFT)
Entity Type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:ANGELA
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:LCSW AND MFT
Other - Prefix:MRS
Other - First Name:INGRID
Other - Middle Name:ANGELA
Other - Last Name:WEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW AND MFT
Mailing Address - Street 1:5303 HIGHLAND COURT
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886
Mailing Address - Country:US
Mailing Address - Phone:714-403-8902
Mailing Address - Fax:714-524-6285
Practice Address - Street 1:5303 HIGHLAND COURT
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886
Practice Address - Country:US
Practice Address - Phone:714-403-8902
Practice Address - Fax:714-524-6285
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47701041C0700X
CA7499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist