Doctor Name: | MRS. CASEY WAINE NEWMAN |
NPI Number: | 1023210366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 22003638A |
Business Practice Address: | 500 Williams St Angola, IN - 467031144 |
Business Phone Number: | 2606652161 |
Business Fax Number: | 2606655762 |
Mailing Address: | 416 S Superior St, ANGOLA |
State: | IN |
Postal Code: | 467031819 |
Phone Number: | 2606652161 |
Fax Number: | 2606655762 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003638A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |