Manning, Mary Lena

Manning, Mary Lena is an individual health care provider with primary practice located at 2917 King St Suite A, Jonesboro AR 72401-5322. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Manning, Mary Lena can be contacted via phone (870) 974-9114.

Contact Information

Primary practice address
2917 King St Suite A Jonesboro AR 72401-5322
Phone: (870) 974-9114
Fax: (870) 974-9184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#735 Arkansas

Profile Details

NPI number 1700838364
LBN Legal business name Manning, Mary Lena
Credentials MCD CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700838364 NPPES
Arkansas Other 5S698 BLUE CROSS BLUE SHIELD #
Arkansas MEDICAID 132140721 BLUE CROSS BLUE SHIELD #

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