Provider Demographics
NPI:1891480158
Name:MANFRE, MEAGHAN MARIE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:MARIE
Last Name:MANFRE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1217
Mailing Address - Country:US
Mailing Address - Phone:610-742-5823
Mailing Address - Fax:
Practice Address - Street 1:145 MEADOWBROOK AVE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1217
Practice Address - Country:US
Practice Address - Phone:610-742-5823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology