Individual
MARTHA MCMANAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
315 OLNEY ST, FRNT, PROVIDENCE, RI 02906-2325
(978) 314-7453
Mailing address
315 OLNEY ST, PROVIDENCE, RI 02906-2325
(978) 314-7453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
76696-SP-SL
MA
235Z00000X
Speech-Language Pathologist
Primary
SP01510
RI
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/19/2017
Last updated
12/16/2019
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