Individual
MRS. BETH K MANNARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
4443 ROWAN RD, NEW PORT RICHEY, FL 34653-6198
(727) 846-9900
Mailing address
4443 ROWAN RD, NEW PORT RICHEY, FL 34653-6198
(727) 846-9900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889173700
—
FL
01
—
S2758
BCBS
FL
Enumeration date
01/11/2007
Last updated
09/26/2016
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