Organization
COMMUNICATION MATTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY NEWHOUSE CCC-SLP (SPEECH PATHOLOGIST, DIRECTOR/CFO)
(805) 273-3870
Entity
Organization
Contact information
Practice address
810 LAWRENCE DR, #100, NEWBURY PARK, CA 91320-2208
(805) 273-3870
(805) 273-3871
Mailing address
810 LAWRENCE DR, #100, NEWBURY PARK, CA 91320-2208
(805) 273-3870
(805) 273-3871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GSP000430
CALIFORNIA CHILDRENS SERV
CA
05
—
GSP000430
—
CA
01
—
ZZZ65098Z
BLUE SHIELD
CA
Enumeration date
12/16/2005
Last updated
07/09/2019
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