Individual
MRS. MARY ELIZABETH NEWSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5667 BUTTONWOOD CT, STONE MOUNTAIN, GA 30087-1611
(770) 891-2172
Mailing address
5667 BUTTONWOOD CT, STONE MOUNTAIN, GA 30087-1611
(770) 891-2172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005604
GA
Other
Enumeration date
05/11/2014
Last updated
05/11/2014
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