Provider Demographics
NPI:1740301324
Name:MANNEY, ANNE PAULINE (MA, CCC,A)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:PAULINE
Last Name:MANNEY
Suffix:
Gender:F
Credentials:MA, CCC,A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NEW IPSWICH RD
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-1824
Mailing Address - Country:US
Mailing Address - Phone:978-386-5579
Mailing Address - Fax:
Practice Address - Street 1:50 MEMORIAL DR
Practice Address - Street 2:SUITE 212
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2238
Practice Address - Country:US
Practice Address - Phone:978-537-8377
Practice Address - Fax:978-534-2334
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA132231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAD0099OtherBCBS PROVIDER #
MAMA024664Medicare ID - Type UnspecifiedPROVIDER NUMBER