Provider Demographics
NPI:1750100202
Name:JOSLIN, MANINDRI (PHD)
Entity type:Individual
Prefix:DR
First Name:MANINDRI
Middle Name:
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MANINDRI
Other - Middle Name:
Other - Last Name:DISSANAYAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1101 RITTER ST UNIT 214
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-8957
Mailing Address - Country:US
Mailing Address - Phone:916-270-4618
Mailing Address - Fax:
Practice Address - Street 1:1845 GRANDSTAND PL
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-6603
Practice Address - Country:US
Practice Address - Phone:847-695-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health