Doctor Name: | GLENN MANCHER |
NPI Number: | 1003020033 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | 011955 |
Business Practice Address: | 2501 86th St Brooklyn, NY - 112144414 |
Business Phone Number: | 7183332500 |
Business Fax Number: | 7183332835 |
Mailing Address: | 2501 86th St, BROOKLYN |
State: | NY |
Postal Code: | 112144414 |
Phone Number: | 7183332500 |
Fax Number: | 7183332835 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 11/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |