National Provider Identifier

Jody Todd Manly, PH.D.

Jody Todd 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) 275-2991.

NPI 1639394927Rochester, NYClinical Psychologist

Profile Overview

NPI
1639394927
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
April 13, 2007
Last Updated
July 08, 2007

Practice Location

  • 187 Edinburgh St
  • Rochester, NY 14608-2415

Phone: (585) 275-2991

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1639394927
Entity Type
Individual
Last Name
Manly
First Name
Jody
Middle Name
Todd
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
187 Edinburgh St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2415
Mailing Country
US
Mailing Phone
(585) 275-2991
Mailing Fax
(585) 454-2972
Practice Street Address
187 Edinburgh St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2415
Practice Country
US
Practice Phone
(585) 275-2991
Practice Fax
(585) 454-2972
Enumeration Date
April 13, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)