Doctor Name: | SYDNEY MANASSE |
NPI Number: | 1255762274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SA13302 |
Business Practice Address: | 3100 75th St N Saint Petersburg, FL - 337102326 |
Business Phone Number: | 7273459111 |
Business Fax Number: | |
Mailing Address: | 8254 118th Ave, Suite 100 LARGO |
State: | FL |
Postal Code: | 337735017 |
Phone Number: | 7275415304 |
Fax Number: | 7275468527 |
NPI Enumeration Date: | 12/01/2013 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA13302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |