Provider Demographics
NPI:1528859147
Name:NEWMAN, MEGHAN LYN (AUD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:LYN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ELIZABETH BLACKWELL ST STE C
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-3443
Mailing Address - Country:US
Mailing Address - Phone:315-789-3595
Mailing Address - Fax:
Practice Address - Street 1:64 ELIZABETH BLACKWELL ST STE C
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-3443
Practice Address - Country:US
Practice Address - Phone:315-789-3595
Practice Address - Fax:315-789-9051
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003306231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist