Provider Demographics
NPI:1568519346
Name:LAMANNA, LATRISHA JUNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LATRISHA
Middle Name:JUNE
Last Name:LAMANNA
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 1:1313 WASHINGTON ST
Mailing Address - Street 2:#208
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2152
Mailing Address - Country:US
Mailing Address - Phone:315-885-7345
Mailing Address - Fax:
Practice Address - Street 1:1313 WASHINGTON ST
Practice Address - Street 2:#208
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2152
Practice Address - Country:US
Practice Address - Phone:315-885-7345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist