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Contact Information

MANZA BLAINE
310 AUTUMN RIDGE DR
KOSCIUSKO, MS39090-3242
 Phone: 601-250-4815
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MANZA BLAINE · (Female)

NPI # 1770732539
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2008
Last updated 09/30/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # S2770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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