NPI 1689689010

Edward Manning, PHD

Practitioner Clinical Neuropsychologist Jackson, MS

Practice location

Address: 2500 North State Street Dept of Neurology, Jackson, MS 39216
Phone: (601) 984-5500
Fax: (601) 984-5499
Mailing address: PO Box 11407 Dept # 2130, Birmingham, AL 35246-2130

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 25-324 (MS)

Other Clinical Neuropsychologist providers in Mississippi →

Registry record

NPI: 1689689010
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 1 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.