Basic Information
| Provider Information | |||||||||
| NPI: | 1306211917 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MANLOVE | ||||||||
| FirstName: | CRISTIANE | ||||||||
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| Credential: | MA, SLP-INTERN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5819 HIGHWAY 6 | ||||||||
| Address2: | STE 360 | ||||||||
| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774594070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814032600 | ||||||||
| FaxNumber: | 2814032606 | ||||||||
| Practice Location | |||||||||
| Address1: | 5819 HIGHWAY 6 STE 360 | ||||||||
| Address2: | |||||||||
| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774594070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7133839700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2015 | ||||||||
| LastUpdateDate: | 12/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 111422 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.