Doctor Name: | MELSSA ANN MANCINI |
NPI Number: | 1205060514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 04-0000274 |
Business Practice Address: | 113 Pine Valley Dr Avondale, PA - 193111420 |
Business Phone Number: | 6103684732 |
Business Fax Number: | |
Mailing Address: | 113 Pine Valley Dr, AVONDALE |
State: | PA |
Postal Code: | 193111420 |
Phone Number: | 6103684732 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 04-0000274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
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 |