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.

NPI 1558678987Rochester, NYClinical Psychologist

Source: public NPPES record, last updated April 05, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Clinical Psychologist (103TC0700X)