National Provider Identifier
Autumn Mangano
Autumn Mangano is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Springville, NY and a listed phone number of (716) 592-9331.
Profile Overview
- NPI
- 1043886401
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 27, 2021
- Last Updated
- September 13, 2022
Practice Location
- 393 North St
- Springville, NY 14141-9652
Phone: (716) 592-9331
Mailing Address
- 13245 Ottenbecker RD
- Lawtons, NY 14091-9791
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1043886401
- Entity Type
- Individual
- Last Name
- Mangano
- First Name
- Autumn
- Mailing Street Address
- 13245 Ottenbecker RD
- Mailing City
- Lawtons
- Mailing State
- NY
- Mailing ZIP Code
- 14091-9791
- Mailing Country
- US
- Mailing Phone
- (716) 713-2609
- Practice Street Address
- 393 North St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-9652
- Practice Country
- US
- Practice Phone
- (716) 592-9331
- Enumeration Date
- May 27, 2021
- Last Updated
- September 13, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)