Provider Demographics
NPI:1972612109
Name:MANLEY, FRANCIS J (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:MANLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 WARD PKWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2166
Mailing Address - Country:US
Mailing Address - Phone:816-756-1722
Mailing Address - Fax:816-756-1533
Practice Address - Street 1:1 WARD PKWY
Practice Address - Street 2:SUITE 107
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2166
Practice Address - Country:US
Practice Address - Phone:816-756-1722
Practice Address - Fax:816-756-1533
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOPY 00305103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
57155OtherCIGNA
MO10202034OtherBC/BS KC
047223000OtherMAGELLAN BEHAVIORAL HEALT
196007OtherHEALTHLINK
KS034353OtherBC/BS KS
MO498485903Medicaid
MO10202034OtherBC/BS KC
R30550Medicare UPIN