Individual
KATHY K MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2023 MOUNTAIN PINE DR, MECHANICSBURG, PA 17050-8502
(717) 512-8769
(717) 732-3798
Mailing address
420 MILLBRIDGE DR, LEBANON, PA 17042-9408
(717) 512-6970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005019L
PA
Other
Enumeration date
08/08/2007
Last updated
03/12/2016
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