Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manza Blaine

Individual provider Speech-Language Pathologist · NPI 1770732539

Manza Blaine is a Speech-Language Pathologist in Kosciusko, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2008

Practice location Address checks out

310 Autumn Ridge Dr
Kosciusko, MS 39090-3242
Phone: (601) 250-4815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S2770 (MS)

Record details

NPI number1770732539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2008
Last updated in NPPESSeptember 30, 2008
Mailing address202 Galloway Dr, Kosciusko, MS 39090-3920

Other providers in Kosciusko