Most Relevant Information
Provider Data
| NPI Number: | 1003571019 |
| Provider Name: | BENJAMIN MANNING |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA19491 |
Most Important Dates
| Enumeration Date: | 11/04/2021 |
| Last Updated: | 11/04/2021 |
Provider Practice Location
56 WATER ST
ST AUGUSTINE
FL
320842887
Practice Location Phone/Fax
| Phone: | 7273644024 |
| Fax: |
Provider Mailing Location
56 WATER ST
ST AUGUSTINE
FL
320842887
Provider Mailing Phone/Fax
| Phone: | 7273644024 |
| Fax: |