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NPI Code Detail

MEDICARE: LESLIE JOY MCMANUS SLP

MEDICARE: LESLIE JOY MCMANUS 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
1235Z00000XSpeech-Language PathologistLL60112522WA

General Provider Information

NPI Number : 1215298112
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE JOY MCMANUS SLP
Provider Business Mailing Address
First Line : 402 91ST AVE NE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-2530
Country : US
Telephone Number : 425-334-4071
Fax Number : 425-335-1894
Provider Business Practice Location Address
First Line : 402 91ST AVE NE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-2530
Country : US
Telephone Number : 425-334-4071
Fax Number : 425-335-1894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 06/06/2012

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Directions to “ LESLIE JOY MCMANUS SLP” Practice Location

Language Start Address Practice Location
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