Individual
MR. PAUL MANZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC/SLP
Contact information
Practice address
1927 STERLING OAKS CIRCLE, ATLANTA, GA 30319
(770) 977-6866
(404) 433-1014
Mailing address
1927 STERLING OAKS DR., ATLANTA, GA 30319
(404) 433-1014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004912
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850524466A
—
GA
Enumeration date
04/10/2007
Last updated
11/16/2009
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