Provider Demographics
NPI:1700895547
Name:MCMANUS, NANCY WOODY (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:WOODY
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:JEAN
Other - Last Name:WOODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:2560 HIDDEN MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7824
Mailing Address - Country:US
Mailing Address - Phone:314-965-8321
Mailing Address - Fax:
Practice Address - Street 1:1809 CLARKSON RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5065
Practice Address - Country:US
Practice Address - Phone:636-532-3211
Practice Address - Fax:636-530-7512
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115897231H00000X
MO001270237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist