Individual
MRS. KERRIE L MANTHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3040 BERKMAR DR STE A1, CHARLOTTESVILLE, VA 22901-1593
(434) 979-8628
(434) 979-8536
Mailing address
3040 BERKMAR DR STE A1, CHARLOTTESVILLE, VA 22901-1593
(434) 979-8628
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004341
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227103
SOUTHERN HELATH PROVIDER
VA
05
—
4980671
—
VA
Enumeration date
03/02/2007
Last updated
08/20/2025
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