Individual
KATE BRENNAN NEWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
17500000X
Contact information
Practice address
5018 WILLOUGHCROFT RD, WILLOUGHBY, OH 44094-5709
(440) 527-3208
Mailing address
5018 WILLOUGHCROFT RD, WILLOUGHBY, OH 44094-5709
(440) 527-3208
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1534
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17500000X
PARAPROFESSSIONAL
OH
Enumeration date
02/10/2020
Last updated
02/10/2020
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