Provider Demographics
NPI:1336970284
Name:MANNING, SHARON P (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:P
Last Name:MANNING
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 INDUSTRIAL ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-2296
Mailing Address - Country:US
Mailing Address - Phone:662-275-0659
Mailing Address - Fax:
Practice Address - Street 1:995 INDUSTRIAL ACCESS RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-2296
Practice Address - Country:US
Practice Address - Phone:662-275-0659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS-2955235Z00000X
MS180131235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist