Provider Demographics
NPI:1245715739
Name:MCMANUS, NATALIE ANN (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PLEASANT ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-3601
Mailing Address - Country:US
Mailing Address - Phone:201-759-3228
Mailing Address - Fax:
Practice Address - Street 1:7 PLEASANT ST UNIT 8
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-3601
Practice Address - Country:US
Practice Address - Phone:201-759-3228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8996235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist