Dr. Charles Manda
Pastoral Counselor
1000 Lafayette Blvd
Bridgeport
, Connecticut 06604-4725
Dr. Charles Manda
Pastoral Counselor
1000 Lafayette Blvd
Bridgeport
, Connecticut 06604-4725
(203) 543-2072
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Charles Manda
- 143 Highland Ave
- Bridgeport, CT
- Zip : 06604-3544
- Phone : (203) 543-2072
Second Address
- Dr. Charles Manda
- 1000 Lafayette Blvd
- Bridgeport, CT
- Zip : 06604-4725
- Phone : (203) 543-2072
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | 267057 | KY |
National Provider Identifier
| NPI | 1003481805 |
|---|---|
| Provider Name | Dr. Charles Manda |
| First Address | Bridgeport, CT 06604-3544 |
| Second Address | Bridgeport, CT 06604-4725 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2021 |
| Last Update Date | 24/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.