Provider Demographics
NPI:1518716737
Name:NEWMAN, ELIZABETH KAY (CF-SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KAY
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 BALMORAL CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-4399
Mailing Address - Country:US
Mailing Address - Phone:636-357-5013
Mailing Address - Fax:
Practice Address - Street 1:110 PERRY CATE BLVD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-4726
Practice Address - Country:US
Practice Address - Phone:636-205-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist