Active NPIIndividual providerSole proprietor

Carla Mcmanimon, MS, CCC-SLP

Speech-Language Pathologist, in Titusville, New Jersey

NPI Number1134369523
Practice location
4 Mckonkey Way, Titusville, NJ 08560-1119
Fax
—
Last updated
January 16, 2014

Carla Mcmanimon is a Speech-Language Pathologist, based in Titusville, NJ. Carla Mcmanimon practices in Titusville, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Carla Mcmanimon is 1134369523 and holds a License No. 41YS00317200 (NJ). The current practice location address for Carla Mcmanimon is 4 Mckonkey Way, Titusville, NJ 08560-1119 and can be reached out via phone at 609-439-3599.

Provider Profile Details

NPI Number
1134369523
Provider Name
Carla Mcmanimon
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
4 Mckonkey Way, Titusville, NJ 08560-1119
Phone Number
609-439-3599
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2009
Last Update Date
January 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Mckonkey Way
Titusville, NJ 08560-1119
Zip
08560-1119
Phone Number
609-439-3599
Titusville, NJ 08560Get directions →

Provider Business Mailing Address Details

Address
4 Mckonkey Way
Titusville, NJ 08560-1119
City
Titusville
State
NJ
Zip
08560-1119
Phone Number
609-439-3599

License Information

License Number
41YS00317200
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carla Mcmanimon, MS, CCC-SLP?

The NPI number of Carla Mcmanimon, MS, CCC-SLP is 1134369523. It was assigned on February 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Carla Mcmanimon, MS, CCC-SLP?

Carla Mcmanimon, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00317200.

Where does Carla Mcmanimon, MS, CCC-SLP practice?

The practice location is 4 Mckonkey Way, Titusville, NJ 08560-1119. The office can be reached at 609-439-3599 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134369523 directly on the NPPES registry website.

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