Alicia Manley, MED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012499 Issued in GA

Practice address

2089 Teron Trce Ste 120
Dacula, GA 30019-1609

Phone

(770) 904-6009

NPI assigned

Mar 9, 2023

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

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tender Ones Therapy Services, Inc.

  • Pediatric Physical Therapist
  • Dacula, GA
  • NPI 1063667970

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1447950274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE STE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "770-904-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE STE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "770-904-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "ALICIA",
        "credential": "MED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Malvo
• Manga Health Consultants, Dba / Regional
• Ebot B Manga
• Mangiarelli Rehabilitation of Georgia LLC
• Makayla Forrest Mangram, ATC
• Cory Kane Mansour, M.D.
• Stephanie L Marie, RBT
• Daniel Mariney, LPC
• Kayla Marshall, PHARMD
• Kenya Marthone

• All providers in Dacula, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.