Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANZA BLAINE
Active Sole ProprietorMANZA BLAINE is a Speech, Language and Hearing Specialist healthcare provider located in KOSCIUSKO, Mississippi. NPI 1770732539 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · KOSCIUSKO, MS
Registration Details
- NPI Number
- 1770732539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2008 (17.875515464672 yrs)
- Last Updated
- Sep 30, 2008
- License
-
S2770 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 AUTUMN RIDGE DRKOSCIUSKO, MS, 390903242Browse MS providers · Browse ZIP 39090
- Phone
- 6012504815
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in KOSCIUSKO, MS
| Name | Credential | NPI |
|---|---|---|
| KARLA BARRENTINE TATE | M.S. CCC-SLP | 1114253200 |
| ASHLEY WILKERSON | — | 1225348691 |
| MS. WHITNEY MOORE PETTIT | SPEECH THERAPIST | 1316242829 |
| WHITNEY JONES | — | 1558621037 |
| HOLLIE THOMAS | — | 1487093993 |
| AUBREY MANNING | — | 1790112027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.