National Provider Identifier
John Basil Manly, PH.D.
John Basil Manly, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 298-9588.
Profile Overview
- NPI
- 1558678987
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- September 07, 2010
- Last Updated
- April 05, 2018
Practice Location
- 500 Helendale RD Ste 186
- Rochester, NY 14609-3167
Phone: (585) 298-9588
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1558678987
- Entity Type
- Individual
- Last Name
- Manly
- First Name
- John
- Middle Name
- Basil
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 500 Helendale RD Ste 186
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-3167
- Mailing Country
- US
- Mailing Phone
- (585) 298-9588
- Mailing Fax
- (585) 629-5155
- Practice Street Address
- 500 Helendale RD Ste 186
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-3167
- Practice Country
- US
- Practice Phone
- (585) 298-9588
- Practice Fax
- (585) 629-5155
- Enumeration Date
- September 07, 2010
- Last Updated
- April 05, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)