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NPI Code Detail

MEDICARE: SUKHJIT K MANN PHD

MEDICARE: SUKHJIT K MANN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist31089CA
2103TC0700XClinical Psychologist31089CA

General Provider Information

NPI Number : 1972149706
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUKHJIT K MANN PHD
Provider Business Mailing Address
First Line : 2140 N WINERY AVE STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93703-4807
Country : US
Telephone Number : 559-216-0125
Fax Number : 559-201-6363
Provider Business Practice Location Address
First Line : 2140 N WINERY AVE STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93703-4807
Country : US
Telephone Number : 559-216-0125
Fax Number : 559-201-6363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 05/07/2025

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Directions to “ SUKHJIT K MANN PHD” Practice Location

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