Organization
DENISE MANTIONE, M.S.CCC-SLP PLLC PEDIATRIC SPEECH-LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A. MANTIONE M.S.CCC-SLP (OWNER/DIRECTOR)
(585) 732-9865
Entity
Organization
Contact information
Practice address
17 MELBOURNE GRN, FAIRPORT, NY 14450-8611
(585) 732-9865
Mailing address
17 MELBOURNE GRN, FAIRPORT, NY 14450-8611
(585) 732-9865
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
004641-1
NY
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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