Doctor Name: | MRS. PENNY NEWLAND |
NPI Number: | 1336559665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 6861 |
Business Practice Address: | 36871 State Route 124 Ste 100 Middleport, OH - 457608006 |
Business Phone Number: | 7407423000 |
Business Fax Number: | 7407422651 |
Mailing Address: | 49467 Owl Hollow Rd, REEDSVILLE |
State: | OH |
Postal Code: | 457729742 |
Phone Number: | 7405904415 |
Fax Number: | 7407422651 |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |