MEDICARE: ELNORA MANAHAN-LEHMAN MS CCC/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	16482	TX

General Provider Information

NPI Number	:	1326474388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELNORA MANAHAN-LEHMAN MS CCC/SLP

Provider Business Mailing Address
First Line	:	2522 KNIGHTSBRIDGE ST
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-2015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 DUNCAN PERRY RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5412
Country	:	US
Telephone Number	:	817-649-3366
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	12/10/2022

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Directions to “ ELNORA MANAHAN-LEHMAN MS CCC/SLP” Practice Location

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