Individual
DONNA MANZELLA-DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
35 FOREST PARK DR, VERO BEACH, FL 32962-4652
(716) 868-3173
Mailing address
35 FOREST PARK DR, VERO BEACH, FL 32962-4652
(716) 868-3173
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA 11499
FL
222Q00000X
Developmental Therapist
SA11499
FL
235Z00000X
Speech-Language Pathologist
Primary
SA 11499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014437000
—
FL
05
—
020210400
—
FL
Enumeration date
03/28/2007
Last updated
01/07/2022
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