Mrs Chrissondria Lynn Mangrum, MA, CCC-SLP is a 
Speech-language Pathologist based in Man, West Virginia. Mrs Chrissondria Lynn Mangrum is licensed to practice in West Virginia (license number SLP-0607) and her current practice location is 
213 W Mcdonald Ave, Man, West Virginia. She can be reached at her office (for appointments etc.) via phone at 
(304) 583-9299.
NPI number for Mrs Chrissondria Lynn Mangrum is 1336364033 and her current mailing address is 213 W Mcdonald Ave, Man, West Virginia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336364033.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mrs Chrissondria Lynn Mangrum | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 213 W Mcdonald Ave, Man, West Virginia | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1336364033
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Chrissondria Lynn Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1336364033 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | SLP-0607 (West Virginia) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chrissondria Lynn Mangrum is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mrs Chrissondria Lynn Mangrum, MA, CCC-SLP 213 W Mcdonald Ave,
 Man, WV 25635-1112
 Ph: (304) 583-9299
 | Mrs Chrissondria Lynn Mangrum, MA, CCC-SLP 213 W Mcdonald Ave,
 Man, WV 25635-1112
 Ph: (304) 583-9299
 | 
		
		 
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