Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANUEL L. MEDINA, PH.D.
Active Sole ProprietorDR. MANUEL L. MEDINA, PH.D. is a Clinical Social Worker healthcare provider located in ELOY, Arizona. NPI 1740345404 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ELOY, AZ
Registration Details
- NPI Number
- 1740345404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2006 (19.460983914772 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LCSW # 11051 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4020 N ZAPOTEC AVEELOY, AZ, 852311160Browse AZ providers · Browse ZIP 85231
- Phone
- 5204648341
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ELOY, AZ
| Name | Credential | NPI |
|---|---|---|
| RALPH VARELA | — | 1730414798 |
| SUSAN HAPAK | — | 1437450392 |
| MARY JANE LEWIS | LCSW | 1982340345 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.