| Porsche Maneice, SLP | |
|
242 St Helens Ave, Tacoma, WA 98402-2514 | |
| (253) 627-3833 | |
| Not Available |
| Full Name | Porsche Maneice |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 242 St Helens Ave, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013698083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | LL61458218 (Washington) | Primary |
| Provider Name | Nancy Johnson Speech & Language Ps |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396345401 PECOS PAC ID: 1153734389 Enrollment ID: O20210107002690 |
| Mailing Address | Practice Location Address |
|---|---|
| Porsche Maneice, SLP 2355 S State St Unit 103, Tacoma, WA 98405-2824 Ph: (205) 260-8878 | Porsche Maneice, SLP 242 St Helens Ave, Tacoma, WA 98402-2514 Ph: (253) 627-3833 |
Andrea Lynn Rottier, LL Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4301 S Pine St, Ste 219, Tacoma, WA 98409 Phone: 253-476-6550 | |
Janet Kobayashi-hobson, CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Christine L Camp, PH.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2106 E 44th St, Tacoma, WA 98404 Phone: 253-571-2908 | |
Ann S Lewis, B.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1202 S 76th St, Tacoma, WA 98408 Phone: 253-571-4579 | |
Angela Curtis, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-7919 | |
Allyson Mary Vaccaro-pelton, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6993 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-7924 |