Provider Demographics
NPI:1770596363
Name:NEWTON, SUSAN D (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:D
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:D
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:5500 REEDS RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1923
Mailing Address - Country:US
Mailing Address - Phone:816-769-3584
Mailing Address - Fax:
Practice Address - Street 1:8424 CLINT DR
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-5329
Practice Address - Country:US
Practice Address - Phone:816-322-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1239231H00000X
MO2002027720231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist