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MANZA BLAINE
NPI 1770732539
Speech-Language Pathologist in Kosciusko, MS

Active since September 16, 2008
310 AUTUMN RIDGE DR, KOSCIUSKO, MS 39090(601) 250-4815 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Manza Blaine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANZA BLAINE (NPI 1770732539) is an individual speech-language pathologist provider in Kosciusko, Mississippi, licensed in Mississippi (S2770) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1770732539
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMANZA BLAINE
Location Address310 AUTUMN RIDGE DRKosciusko, MS 39090-3242
Mailing Address202 Galloway DrKosciusko, MS 39090-3920
Phone(601) 250-4815
Sole ProprietorYes
Enumeration DateSeptember 16, 2008
Last NPPES UpdateSeptember 30, 2008
✔ NPI 1770732539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MS · S2770
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
310 AUTUMN RIDGE DR, Kosciusko, MS 39090
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATOYA JONES
Occupational Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 289-3499
GARY TUCKER
Occupational Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 289-3499
SOPHIE CHAMPAGNE BLACK
Occupational Therapist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 289-3499
LOREN PEARSON PTA
Physical Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (660) 289-3499
ASHLEY WILKERSON
Speech-Language Pathologist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 289-3499
IMANI FINLEY OT
Occupational Therapist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 739-6162
MYLISSA HODGES
Occupational Therapist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 289-3499
JORDAN L COURTS
Occupational Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Attala County (662) 289-3499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manza Blaine's NPI number?

The NPI number for Manza Blaine is 1770732539. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Manza Blaine located?

Manza Blaine practices at 310 Autumn Ridge Dr, Kosciusko, MS 39090. The listed phone number is (601) 250-4815.

What is Manza Blaine's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Manza Blaine was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.