Provider Demographics
NPI:1548997711
Name:NEWINGHAM, MEREDITH ANN
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANN
Last Name:NEWINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:MASSUCCI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:517 COLONY CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6017
Mailing Address - Country:US
Mailing Address - Phone:412-848-7272
Mailing Address - Fax:
Practice Address - Street 1:517 COLONY CT
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-6017
Practice Address - Country:US
Practice Address - Phone:412-848-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-06
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010099235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist