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General NPI Number Information
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NPI Number | 1508994146
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Entity Type | Individual
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Provider Name | KERRIE L MANTHEY M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 3040 BERKMAR DR STE A1
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1593
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Country | US
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Telephone | 434-979-8628
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Fax | 434-979-8536
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Provider Business Mailing Address
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Address Line | 3040 BERKMAR DR STE A1
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1593
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Country | US
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Telephone | 434-979-8628
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Fax | 434-979-8536
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004341
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License Number State | VA
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