Heather Lynn Manly, SLP/CCC M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111273 Issued in TX

Practice address

3000 N Danville St
Willis, TX 77378-3490

Phone

(936) 856-4312

NPI assigned

Oct 26, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1871136473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13077 VEGA CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N DANVILLE ST",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773783490",
            "telephone_number": "936-856-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLY",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "SLP/CCC M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star HCS, Inc.
• Loving Care Assisted Living
• Adam Lowe, PA-C
• Amy Lucas
• Mischele Maglothin, LPC
• Susana Martinez
• Heidi McBroom, RN
• Amanda Elizabeth McMillan, P.A.-C
• Mediforge LLC
• Meridex Group LLC

• Speech-Language Pathologist in Willis, TX
• Providers in Willis, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.