Provider Demographics
NPI:1891828331
Name:MANERS, TONI RAE DENNIS (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TONI RAE
Middle Name:DENNIS
Last Name:MANERS
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 1:117 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-1344
Mailing Address - Country:US
Mailing Address - Phone:859-588-2888
Mailing Address - Fax:859-234-1210
Practice Address - Street 1:117 CHARLOTTE DR
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-1344
Practice Address - Country:US
Practice Address - Phone:859-588-2888
Practice Address - Fax:859-234-1210
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2453235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist