Search › Alabama › 101YP2500X
Maryanna Manderville, LPC
NPI 1285916593 · on the registry since 2011
Practice
- Address
- 2637 Eastern Blvd
Montgomery, AL 36117 - Phone
- (334) 409-9090
- Fax
- (334) 409-9669
- Organisation at this address
- Metime Heals Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama