Provider Demographics
NPI:1376502336
Name:MANNING, COLEEN DAWN (MA)
Entity type:Individual
Prefix:MS
First Name:COLEEN
Middle Name:DAWN
Last Name:MANNING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-8330
Mailing Address - Country:US
Mailing Address - Phone:724-962-0342
Mailing Address - Fax:
Practice Address - Street 1:786 E STATE ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3334
Practice Address - Country:US
Practice Address - Phone:724-346-4142
Practice Address - Fax:724-346-4150
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health