Provider Demographics
NPI:1619179082
Name:MANIACI, CAREN A (SPEECH THERAPIST)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:A
Last Name:MANIACI
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 PINKERTON LN
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8593
Mailing Address - Country:US
Mailing Address - Phone:740-607-6044
Mailing Address - Fax:740-588-2185
Practice Address - Street 1:2805 PINKERTON LN
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-8593
Practice Address - Country:US
Practice Address - Phone:404-537-4509
Practice Address - Fax:740-455-4084
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP5430235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist