Individual
MS. MARY ANN NEWCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
364 S. PARK STREET, WALLA WALLA, WA 99362-3293
(509) 526-1779
(509) 526-4344
Mailing address
364 S. PARK STREET, WALLA WALLA, WA 99362-3293
(509) 526-1779
(509) 526-4344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60015392
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60015392
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/11/2013
Last updated
09/11/2013
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