P Praxis·MD
● Active Type 1 · Individual

DR. Alisa J Manulkin, PHD

Psychologist·Marietta, GA· NPI 1548298755 · Enumerated 2006 · 19 years on NPI
Manulkin is 1 of 11 psychologist providers in Marietta and 1 of 146 in Georgia.
NPI age
19 years
Enumerated 2006-06-28
Primary specialty
Psychologist
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 146 active psychologist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
2012 Charrwood Way
Marietta, GA 300628501
📞 9546557967
Mailing address
2012 Charrwood Way
Marietta, GA 300628501
📞 9546557967fax 7706710476

Specialties

  • Psychologist Primary
    A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical...
    FL license #PY5370 taxonomy 103TC2200X

Identifiers

TypeValueNotes
05 (FL) 7635907-00

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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