Individual
CARLA MCMANIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4 MCKONKEY WAY, TITUSVILLE, NJ 08560-1119
(609) 439-3599
Mailing address
4 MCKONKEY WAY, TITUSVILLE, NJ 08560-1119
(609) 439-3599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00317200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396886297
CHILDREN'S SPECIALIZED HOSPITAL
NJ
Enumeration date
02/25/2009
Last updated
01/16/2014
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