Individual
JULLIANNE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1002 CUB CT, EFFORT, PA 18330-8035
(570) 656-4047
Mailing address
PO BOX 961, EFFORT, PA 18330-0961
(570) 656-4047
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
14066891
PA
235Z00000X
Speech-Language Pathologist
14066891
PA
252Y00000X
Early Intervention Provider Agency
Primary
14066891
PA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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