Individual
AUTUMN MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 NORTH ST, SPRINGVILLE, NY 14141-9652
(716) 592-9331
Mailing address
13245 OTTENBECKER RD, LAWTONS, NY 14091-9791
(716) 713-2609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032262-01
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/27/2021
Last updated
09/13/2022
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