Jaimie Lynn Manfre, CCC-SLP
Speech-Language Pathologist, in Plymouth, MI. Individual provider (NPI-1).
NPI number1083179915
StatusActive
Last updated in NPPESFeb 5, 2019
Details
- NPI
- 1083179915
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jaimie Lynn Manfre
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2019
- Last updated
- Feb 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 7101005177 | MI | Yes |
Other names
- Jaimie Lynn Medel (Former Name)
Practice location
46200 Port StPlymouth, MI 48170-6048
Phone 734-454-0866
Mailing address
37333 Bristol StLivonia, MI 48154-1763
Phone 734-751-8814
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All 154 Speech-Language Pathologist providers in Plymouth · All 4,010 providers in Plymouth
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