Individual
MS. PETRONELLA NEWHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, SLT
Contact information
Practice address
304 S MAIN ST, YUMA, AZ 85364-2367
(928) 919-4752
Mailing address
600 W 17TH ST, YUMA, AZ 85364-5527
(928) 919-4752
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA#8400
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP12310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010920614
—
AZ
Enumeration date
09/16/2013
Last updated
02/03/2022
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