Doctor Name: | MRS. COREY NEWSOME |
NPI Number: | 1154720043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | |
Business Practice Address: | 150 Hurricane Vly Hardeeville, SC - 299274056 |
Business Phone Number: | 8433101888 |
Business Fax Number: | |
Mailing Address: | 122 Willow Point Rd, BEAUFORT |
State: | SC |
Postal Code: | 299066787 |
Phone Number: | 8435217622 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2014 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |