Doctor Name: | MS. VIRGINIA GAIL MCMANAWAY |
NPI Number: | 1124286232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | 3005 |
Business Practice Address: | 815 Triplett St Owensboro, KY - 423033564 |
Business Phone Number: | 2706834517 |
Business Fax Number: | |
Mailing Address: | 2860 Happy Hollow Rd, HAWESVILLE |
State: | KY |
Postal Code: | 423485108 |
Phone Number: | 2709227723 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2008 |
NPI Last Update Date: | 05/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |