MRS. MARY S MANAHAN


Address: 4408 Maccorkle Ave Se, Charleston, WV 25304-2506
Phone: 3043579059

MRS. MARY S MANAHAN (NPI# 1659467645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659467645
Entity Type Individual
Full Name MRS. MARY S MANAHAN
Credential MA, CCCA
Practice Address 4408 Maccorkle Ave Se
Charleston
WV 25304-2506
Practice Telephone 3043579059
Practice Fax Number 3043574412
Mailing Telephone 3043579059
Mailing Fax Number 3043574412
Enumeration Date 2006-10-05
Last Update Date 2015-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist A0198 WV Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV STATE LICENSE A0198 01
WV 3403015000 05

Office Location

Street Address 4408 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304-2506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477899623 Ear, Nose & Throat Physicians and Surgeons of Charleston, Pllc Otolaryngology 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 2012-12-17
1649440983 Womencare, Inc Clinic/Center 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 2008-03-03
1295866879 Peter Kent Americo Speech-Language Pathologist 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 2007-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376160465 Nicole Ritter Audiologist 135 Rutledge Ave # 216, Charleston, SC 29425-8903 2020-07-06
1164732616 Shannon Blackstone Audiologist 33 Percy St Apt B, Charleston, SC 29403-5957 2010-10-18
1437326295 Mickra Hamilton King Audiologist 1679 Coonskin Dr, 130th Medical Group, Charleston, WV 25311-1023 2008-05-12
1760608152 Audiology and Hearing Aid Services, Inc Audiologist 2205 Washington St E, Charleston, WV 25311-2218 2007-04-17
1740325950 Simmerman Hearing and Speech Associates Inc Audiologist 1105 Fledderjohn Rd, Charleston, WV 25314-4204 2007-02-21
1669511853 Gregory Alan Simmerman Audiologist 1105 Fledderjohn Road, Charleston, WV 25314 2007-02-05
1629149455 Advanced Professional Hearing Aid Services Inc Audiologist 318 Lee St W, Suite 201, Charleston, WV 25302-2136 2006-11-13
1881658367 Jennifer P Davis Audiologist 318 Lee St W Ste 201, Charleston, WV 25302-2136 2006-04-13
1689292252 Lauren Lynne Costello Audiologist 135 Rutledge Ave, Charleston, SC 29425-8903 2020-07-10
1770100075 Allyson Lambert Audiologist 216 Leon Sullivan Way, Charleston, WV 25301-2409 2020-07-02
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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