| Manza Blaine, | |
|
310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | |
| (601) 250-4815 | |
| Not Available |
| Full Name | Manza Blaine |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 310 Autumn Ridge Dr, Kosciusko, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770732539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S2770 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Manza Blaine, 202 Galloway Dr, Kosciusko, MS 39090-3920 Ph: () - | Manza Blaine, 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 Ph: (601) 250-4815 |
Karla Barrentine Tate, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3067 Attala Road 2247, Kosciusko, MS 39090 Phone: 601-953-2920 | |
Ashley Wilkerson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
Sharhonda Wingo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2447 Attala Road 2203, Kosciusko, MS 39090 Phone: 662-435-0504 | |
Ms. Courtney Fletcher, M.S.,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 105 Wildwood Ter, Kosciusko, MS 39090 Phone: 662-582-0786 | |
Ms. Whitney Moore Pettit, SPEECH THERAPIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 | |
Hollie Thomas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
Whitney Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 |