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Active NPI 1336364033 Individual Practitioner Female Practitioner

Chrissondria Lynn Mangrum , MA, CCC-SLP

Speech-Language Pathologist • Man, WV

Professional Overview & Biography Verified Profile Summary

Chrissondria Mangrum, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Man, WV. Practice services are available at 213 W MCDONALD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

213 W Mcdonald Ave

Man, WV 256351112

Telephone 3045839299

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Man, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Man, WV (1413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WV SLP-0607

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 213 W MCDONALD AVE, MAN, WV 256351112 (Tel: 3045839299)

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Updated Business Mailing Address July 08, 2007

Registered at 213 W MCDONALD AVE, MAN, WV 256351112 (Tel: 3045839299)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHRISSONDRIA MANGRUM, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SLP-0607 in WV)

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Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336364033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

213 W Mcdonald Ave

Man, WV 256351112

Phone: 3045839299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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