National Provider Identifier
Holly Kathryn Mangus
Holly Kathryn Mangus is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Derby, NY and a listed phone number of (716) 549-0585.
Profile Overview
- NPI
- 1659929966
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 29, 2019
- Last Updated
- August 29, 2019
Practice Location
- 7821 Erie RD
- Derby, NY 14047-9502
Phone: (716) 549-0585
Mailing Address
- 3377 Lake Shore RD
- Buffalo, NY 14219-1437
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1659929966
- Entity Type
- Individual
- Last Name
- Mangus
- First Name
- Holly
- Middle Name
- Kathryn
- Mailing Street Address
- 3377 Lake Shore RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14219-1437
- Mailing Country
- US
- Practice Street Address
- 7821 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9502
- Practice Country
- US
- Practice Phone
- (716) 549-0585
- Enumeration Date
- August 29, 2019
- Last Updated
- August 29, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)