Provider Demographics
NPI:1861261620
Name:MANNING, RYAN PAUL
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:PAUL
Last Name:MANNING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N PENNSYLVANIA ST APT 602
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3179
Mailing Address - Country:US
Mailing Address - Phone:916-217-9396
Mailing Address - Fax:
Practice Address - Street 1:425 S CHERRY ST STE 810
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1235
Practice Address - Country:US
Practice Address - Phone:639-772-4720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health