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NPI Code Detail

MEDICARE: BRANITA THOMPSON-MANN SLP

MEDICARE: BRANITA THOMPSON-MANN 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 PathologistSA11432FL

General Provider Information

NPI Number : 1295280550
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANITA THOMPSON-MANN SLP
Provider Business Mailing Address
First Line : 3922 LITTLETON BEND CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-7902
Country : US
Telephone Number : 724-612-4701
Fax Number :
Provider Business Practice Location Address
First Line : 3922 LITTLETON BEND CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-7902
Country : US
Telephone Number : 724-612-4701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2016
Last Update Date : 08/16/2016

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Directions to “ BRANITA THOMPSON-MANN SLP” Practice Location

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