Individual
STACEY NICOLE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
212 E 18TH ST, LAWRENCE, KS 66044-3712
(816) 830-2742
Mailing address
212 E 18TH ST, LAWRENCE, KS 66044-3712
(816) 830-2742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008029382
MO
235Z00000X
Speech-Language Pathologist
3652
KS
Other
Enumeration date
10/02/2008
Last updated
04/24/2017
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