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Benjamin Manning

Speech-Language Pathologist, in St Augustine, FL. Individual provider (NPI-1).

NPI number1003571019
StatusActive
Last updated in NPPESNov 4, 2021

Details

NPI
1003571019
Entity type
Individual (NPI-1)
Name
Benjamin Manning
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 4, 2021
Certification date
Nov 4, 2021
Last updated
Nov 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA19491FLYes

Practice location

56 Water St
St Augustine, FL 32084-2887

Phone 727-364-4024

Mailing address

56 Water St
St Augustine, FL 32084-2887

Phone 727-364-4024

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