Individual
MRS. TERESA KATHLEEN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
5640 MONTANA AVE STE G, EL PASO, TX 79925-3329
(915) 633-8301
(915) 591-6696
Mailing address
5640 MONTANA AVE STE G, EL PASO, TX 79925-3329
(915) 633-8301
(915) 591-6696
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
16603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2745
BCBSTX
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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