Provider Demographics
NPI:1326480252
Name:MANNING, TERRAN GERROND (MSW)
Entity Type:Individual
Prefix:
First Name:TERRAN
Middle Name:GERROND
Last Name:MANNING
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1543
Mailing Address - Country:US
Mailing Address - Phone:405-615-3836
Mailing Address - Fax:
Practice Address - Street 1:2132 HARBOR DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-1543
Practice Address - Country:US
Practice Address - Phone:405-615-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical