Doctor Name: | MR. JOHN FRANCIS MCMANUS |
NPI Number: | 1013126069 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA,CCC-SLP |
License Number: | 7565 |
Business Practice Address: | 6940 Innsdale Ave S Cottage Grove, MN - 550161295 |
Business Phone Number: | 6517689161 |
Business Fax Number: | 6517692183 |
Mailing Address: | 6940 Innsdale Ave S, COTTAGE GROVE |
State: | MN |
Postal Code: | 550161295 |
Phone Number: | 6517689161 |
Fax Number: | 6517692183 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |