Provider Demographics
NPI:1124571575
Name:MANNING, NELL PERCY (PHD)
Entity Type:Individual
Prefix:MS
First Name:NELL
Middle Name:PERCY
Last Name:MANNING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 HARRISON ST APT 503
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6161
Mailing Address - Country:US
Mailing Address - Phone:646-598-1383
Mailing Address - Fax:
Practice Address - Street 1:128 HARRISON ST APT 503
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6161
Practice Address - Country:US
Practice Address - Phone:646-598-1383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00675700103TC0700X
NY022240103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical