Carol Ann Manly, PH.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

000512-1 Issued in NY

Practice address

375 Raymond St
Rockville Centre, NY 11570-2735

Phone

(516) 766-3600

Fax

(516) 536-7749

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1164884672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 RAYMOND ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702735",
            "telephone_number": "516-766-3600",
            "fax_number": "516-536-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 RAYMOND ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702735",
            "telephone_number": "516-766-3600",
            "fax_number": "516-536-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLY",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Maiorino, RPA
• Abdul Majeed, M.D. FCCP
• Jonathan R Mallen, MD
• Alexander Mangas, D.O.
• Jonathan Manh, PA-C
• Nancy Ellen Mannion
• Jeanne Marie Manzi, PHARMD, RPH, CGP
• Jeanelle Marcellin
• Jean-Jeffrey Marcellus, N.P.
• Adam Joshua Marchbein, PA

• Speech-Language Pathologist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.