Individual provider · NPI-1

Manjusha D Birje, MS CCC-SLP

Speech-Language Pathologist, · Lutz, FL

NPI number1508192840
StatusActive
Last updated in NPPESOct 30, 2024

Details

NPI
1508192840
Entity type
Individual (NPI-1)
Name
Manjusha D Birje
Credential
MS CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2009
Certification date
Oct 30, 2024
Last updated
Oct 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA10900FLYes

Practice location

16102 N Florida Ave
Lutz, FL 33549-6129

Phone 813-873-1936 · Fax 813-873-8837

Mailing address

16102 N Florida Ave
Lutz, FL 33549-6129

Phone 813-873-1936 · Fax 813-873-8837

Other practice locations

6508 Gunn Hwy
Tampa, FL 33625-4022

Phone 813-963-6923 · Fax 813-264-0768

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