Doctor Name: | MR. MCKINLEY HUNTER MANASCO |
NPI Number: | 1659420362 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | 2447 |
Business Practice Address: | 2115 Hand Ave Bay Minette, AL - 365074149 |
Business Phone Number: | 2519372823 |
Business Fax Number: | |
Mailing Address: | 3024 Lindholm Dr E, MOBILE |
State: | AL |
Postal Code: | 366933540 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |