Provider Demographics
NPI:1740492156
Name:MANNING, CLARE JOY (PSYD)
Entity type:Individual
Prefix:DR
First Name:CLARE
Middle Name:JOY
Last Name:MANNING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 LILY ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1632
Mailing Address - Country:US
Mailing Address - Phone:831-239-9345
Mailing Address - Fax:
Practice Address - Street 1:3192 GLEN CANYON RD
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4916
Practice Address - Country:US
Practice Address - Phone:831-438-1868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006621103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical