Individual
SANDRA ORLENE NEWCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1813 PICCARD DR, ROCKVILLE, MD 20850-6067
(301) 412-7435
Mailing address
1813 PICCARD DR, ROCKVILLE, MD 20850-6067
(301) 412-7435
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PGP-0683016
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230174317
—
VA
Enumeration date
02/13/2019
Last updated
02/13/2019
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