Individual
MS. ADRIENNE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324-2268
(937) 427-9200
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
(513) 755-3762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2014299-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP11668
OH
235Z00000X
Speech-Language Pathologist
SP23223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
08/28/2014
Last updated
07/17/2020
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