Organization
SUSAN S. MANNING
Active
Other names
Developmental Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN S MANNING CCC/SLP (SPEECH/LANGUAGE PATHOLOGIST/OWNER)
(336) 213-4001
Entity
Organization
Contact information
Practice address
2239 WALKER AVENUE, BURLINGTON, NC 27215-4520
(336) 213-4001
Mailing address
2239 WALKER AVENUE, BURLINGTON, NC 27215-4520
(336) 213-4001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
NC LICENSE 1778
NC
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13295
BLUECROSSBLUESHIELD/NC
NC
05
—
7210809
—
NC
05
—
7411651
—
NC
Enumeration date
08/09/2007
Last updated
08/06/2008
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