Chrissondria Lynn Mangrum in Man - Speech-language Pathologist

Chrissondria Lynn Mangrum - NPI 1336364033

Chrissondria Lynn Mangrum is a Speech-language Pathologist in Man, . Chrissondria Lynn Mangrum practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Chrissondria Lynn Mangrum is 1336364033. The last update date is 2007-07-08.

Chrissondria Lynn Mangrum's current location address is 213 W Mcdonald Ave, Man, . You can contact this provider via phone number 3045839299. The mailing address for Chrissondria Lynn Mangrum is 213 W Mcdonald Ave, Man, . To know further, please read the information below!

Provider Profile Detail

Provider Name Chrissondria Lynn Mangrum
Address 213 W Mcdonald Ave, Man,
Phone Number 3045839299
Fax Number
Sole Proprietor Y
Credentials MA, CCC-SL

NPI Number Detail

NPI Number 1336364033
Provider Enumeration Date 2007-04-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 213 W Mcdonald Ave
City Man
State (WV)
Post Code 256351112
Phone Number 3045839299
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SLP-0607
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Chrissondria Lynn Mangrum

What is the unique identifier code issued to Chrissondria Lynn Mangrum by the Centers for Medicare & Medicaid Services?

The Chrissondria Lynn Mangrum has been assigned the NPI (National Provider Identifier) 1336364033. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Chrissondria Lynn Mangrum's facilities are situated?

The facilities of Chrissondria Lynn Mangrum are physically located at the following address: 213 W Mcdonald Ave, Man, WV, 256351112.

What is Chrissondria Lynn Mangrum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Chrissondria Lynn Mangrum is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date did the Chrissondria Lynn Mangrum receive the assignment of its 1336364033 from the Centers for Medicare & Medicaid Services?

The Chrissondria Lynn Mangrum was issued its 1336364033 by the Centers for Medicare & Medicaid Services on 2007-04-16.

As of what date was the information pertaining to Chrissondria Lynn Mangrum, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Chrissondria Lynn Mangrum, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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