Provider Demographics
NPI:1154926913
Name:MANNS, RONNIE (NPSY,FAIHCP, FCMA)
Entity type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:
Last Name:MANNS
Suffix:
Gender:M
Credentials:NPSY,FAIHCP, FCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45433 W SANDHILL RD
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-9121
Mailing Address - Country:US
Mailing Address - Phone:779-207-2047
Mailing Address - Fax:815-377-3549
Practice Address - Street 1:45433 W SANDHILL RD
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-9121
Practice Address - Country:US
Practice Address - Phone:779-207-2047
Practice Address - Fax:815-377-3549
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No174H00000XOther Service ProvidersHealth Educator
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health