Provider Demographics
NPI:1265411847
Name:MANNING, CAROL ANN JEAN (AUD, PLLC)
Entity type:Individual
Prefix:DR
First Name:CAROL ANN
Middle Name:JEAN
Last Name:MANNING
Suffix:
Gender:F
Credentials:AUD, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WEBB PL
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2462
Mailing Address - Country:US
Mailing Address - Phone:603-749-1780
Mailing Address - Fax:603-749-3934
Practice Address - Street 1:3 WEBB PL
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2462
Practice Address - Country:US
Practice Address - Phone:603-749-1780
Practice Address - Fax:603-749-3934
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA354231H00000X
MEAP1298231H00000X
MA262231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30432394Medicaid
7305799YONHO4OtherBCBS
ME187230000Medicaid
683060OtherCIGNA
039064Medicare ID - Type Unspecified