Individual
BERTHA MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1477 LOMALAND DR STE E7, EL PASO, TX 79935-4704
(915) 599-6690
Mailing address
1600 MONTANA AVE, EL PASO, TX 79902-5622
(915) 630-1454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24427
TX
Other
Enumeration date
06/08/2007
Last updated
10/27/2009
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