Individual
JAYNE R MCMANIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 W CRESTVIEW DR, PRESCOTT, AZ 86305-7007
(928) 420-6971
Mailing address
2900 W CRESTVIEW DR, PRESCOTT, AZ 86305-7007
(928) 420-6971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5761
AZ
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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