Provider Demographics
NPI:1194495499
Name:MANN, JASMEET KAUR
Entity type:Individual
Prefix:
First Name:JASMEET
Middle Name:KAUR
Last Name:MANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3797 CRANBERRY LN
Mailing Address - Street 2:
Mailing Address - City:SHRUB OAK
Mailing Address - State:NY
Mailing Address - Zip Code:10588-1045
Mailing Address - Country:US
Mailing Address - Phone:914-355-1860
Mailing Address - Fax:
Practice Address - Street 1:3 DEEP WELL FARMS RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590-1916
Practice Address - Country:US
Practice Address - Phone:914-671-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist