Doctor Name: | KIMBERLY JONES MANER |
NPI Number: | 1801916697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 4084 |
Business Practice Address: | 1429 E Marion St Ste. 5 Shelby, NC - 281504986 |
Business Phone Number: | 7044805440 |
Business Fax Number: | |
Mailing Address: | 3021 Colony Ridge Dr, GASTONIA |
State: | NC |
Postal Code: | 280561602 |
Phone Number: | 7048657958 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |