Provider Demographics
NPI:1033785266
Name:MANNING, JANE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:MANNING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 TANINGER RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-4419
Mailing Address - Country:US
Mailing Address - Phone:781-820-5868
Mailing Address - Fax:
Practice Address - Street 1:150 PILLSBURY RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3224
Practice Address - Country:US
Practice Address - Phone:603-437-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2023235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist