Individual
CHRISTINE DIAN MANTCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5606 FIRESIDE DR, ARLINGTON, TX 76016-1123
(682) 351-7962
Mailing address
5606 FIRESIDE DR, ARLINGTON, TX 76016-1123
(682) 351-7962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118830
TDLR
TX
Enumeration date
02/21/2023
Last updated
02/21/2023
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