BREANNA LOGAN MANK
NPI 1104547702
Psychologist - School in Red Bud, IL
About Breanna Logan Mank NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA LOGAN MANK (NPI 1104547702) is an individual school provider in Red Bud, Illinois, licensed in Illinois (1383039) and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breanna Mank's NPI number?
The NPI number for Breanna Mank is 1104547702. It was assigned to this individual provider in the NPPES registry on September 12, 2022. The provider is also known as Breanna Logan Clubb.
Where is Breanna Mank located?
Breanna Mank practices at 1525 Locust St, Red Bud, IL 62278. The listed phone number is (618) 282-6251.
What is Breanna Mank's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Breanna Mank was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.