Julie-Anne Manuel, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

29210 Issued in CA

Practice address

83 Parkside Ave
Daly City, CA 94015-1053

Phone

(619) 495-6901

NPI assigned

Apr 13, 2020

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1598384174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PARKSIDE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151053",
            "telephone_number": "619-495-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PARKSIDE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151053",
            "telephone_number": "619-495-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "JULIE-ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE - SPEECH PATHOLOGIST",
            "identifier": "29210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION - NATIONAL CERTIFICATION",
            "identifier": "14242000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Rose Malicdem
• Rachel L Malina, MD
• Wenyan Man, M.D.
• Michelle Marie Mangio, OT
• Christopher Manuel
• Maria Theresa Maranon
• Janelle Renee Maravelias, DPM
• Maria Angara Dental Corporation
• Daniel Maria Pena
• Marianne C Troxell LMFT & Assoc. a Marriage & Family Therapy Corp.

• Speech-Language Pathologist in Daly City, CA
• Providers in Daly City, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.