Provider Demographics
NPI:1609276468
Name:MCMANAMON, RAYMOND DAVID (LPC)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:DAVID
Last Name:MCMANAMON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1510
Mailing Address - Country:US
Mailing Address - Phone:215-499-2525
Mailing Address - Fax:
Practice Address - Street 1:623 W MARKET ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-1470
Practice Address - Country:US
Practice Address - Phone:215-499-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006067101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional