Individual
AMANDA NICOLE NEWLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 933-3073
Mailing address
102 BAILEY DR, MARIETTA, OH 45750-9421
(740) 525-0435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1574
WV
235Z00000X
Speech-Language Pathologist
SP.09536
OH
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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