Provider Demographics
NPI:1881802056
Name:KAUFMAN, MANETTE CONE (MSP, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MANETTE
Middle Name:CONE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4930 LAMBS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-3525
Mailing Address - Country:US
Mailing Address - Phone:843-425-8700
Mailing Address - Fax:
Practice Address - Street 1:4930 LAMBS RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-3525
Practice Address - Country:US
Practice Address - Phone:843-425-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist