Provider Demographics
NPI:1649212473
Name:MANN, TRUE SANDLIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRUE
Middle Name:SANDLIN
Last Name:MANN
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 1:1906 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3202
Mailing Address - Country:US
Mailing Address - Phone:903-753-3334
Mailing Address - Fax:501-505-8075
Practice Address - Street 1:1906 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3202
Practice Address - Country:US
Practice Address - Phone:903-753-3334
Practice Address - Fax:501-505-8075
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22753103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical