Denise Mantione, M.s.ccc-Slp Pllc Pediatric Speech-Language Pathology

NPI #1780998641 in Fairport, New York

Provider Information

NPI Number: 1780998641
Entity Type: Organization
Organization Name: Denise Mantione, M.s.ccc-Slp Pllc Pediatric Speech-Language Pathology
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Aug 3, 2010
Last Updated: Aug 3, 2010

Practice Location

Address: 17 MELBOURNE GRN
City: Fairport
State: New York
ZIP Code: 14450-8611
Phone: (585) 732-9865

Authorized Official

Name: DENISE A. MANTIONE, M.S.CCC-SLP
Title: OWNER/DIRECTOR
Phone: (585) 732-9865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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