Provider Information for 1447724794
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. MATTHEW MANZ LMHC
Sex: Male
NPI: 1447724794
Last Updated: 2019-01-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447724794 | ||||||||
| Enumeration Date | 2019-01-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 106 TAFT ST N HUMBOLDT, IA 50548-1770 United States Phone: 515-227-0334 | Fax: | ||||||||
| Primary Practice Address | 728 1ST AVE N FORT DODGE, IA 50501-0466 United States Phone: 515-227-0334 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|