# KATHRYN KAREN MANCEWICZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588132153
- **Gender:** F
- **Credential:** CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 29293 | CA | Yes |
| 235Z00000X | Speech-Language Pathologist | SA16577 | FL | — |

## Other

- **Enumeration date:** 11/12/2018
- **Last updated:** 07/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | - | NO OTHER NUMBERS | — |
| 01 | — | 29293 | SPEECH LANGUAGE PATHOLOGY LICENSE | CA |