Dr. Robert Grenfell Mankoff
Clinical Child & Adolescent Psychologist
4000 Blue Ridge Rd Suite 200
Raleigh
, North Carolina 27612-4650
Dr. Robert Grenfell Mankoff
Clinical Child & Adolescent Psychologist
4000 Blue Ridge Rd Suite 200
Raleigh
, North Carolina 27612-4650
(919) 781-5199
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Robert Grenfell Mankoff
- 4029 Balsam Dr
- Raleigh, NC
- Zip : 27612-3605
- Phone : (919) 781-5199
Second Address
- Dr. Robert Grenfell Mankoff
- 4000 Blue Ridge Rd Suite 200
- Raleigh, NC
- Zip : 27612-4650
- Fax : (919) 782-2474
- Phone : (919) 782-4981
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1963 | NC |
National Provider Identifier
| NPI | 1104951136 |
|---|---|
| Provider Name | Dr. Robert Grenfell Mankoff |
| First Address | Raleigh, NC 27612-3605 |
| Second Address | Raleigh, NC 27612-4650 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6000666 | (05) | NC |
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.