Individual
CASEY MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1717 MANHATTAN AVE APT 9, HERMOSA BEACH, CA 90254-3448
(310) 526-0642
Mailing address
1717 MANHATTAN AVE APT 9, HERMOSA BEACH, CA 90254-3448
(310) 526-0642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23301
CA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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