Individual
MS. JESSICA LINDSAY MANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
9712 JIM MORRIS RD, FREDERICKSBURG, VA 22408-0213
(540) 846-1252
Mailing address
9712 JIM MORRIS RD, FREDERICKSBURG, VA 22408-0213
(540) 846-1252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008291
VA
Other
Enumeration date
07/24/2017
Last updated
10/14/2022
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