Provider Demographics
NPI:1528221017
Name:MANANSALA-EARY, MARGARET CALINGO (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CALINGO
Last Name:MANANSALA-EARY
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 MANDOLIN LN
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-3578
Mailing Address - Country:US
Mailing Address - Phone:863-286-9579
Mailing Address - Fax:
Practice Address - Street 1:360 MANDOLIN LN
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-3578
Practice Address - Country:US
Practice Address - Phone:863-286-9579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-06
Last Update Date:2008-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 7782235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist