NPI 1659467645 · live from the CMS NPI Registry
Mary S Manahan, MA, CCCA
Audiologist in Charleston, WV. National Provider Identifier 1659467645, active.
NPI record
| NPI | 1659467645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 4408 Maccorkle Ave Se, Charleston, WV 25304 |
| Practice phone | 304-357-9059 |
| Enumerated | October 5, 2006 |
| Last updated | December 14, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | A0198 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.