Newcom, Mary Ann
Newcom, Mary Ann is an sole proprietor health care provider with primary practice located at 364 S. Park Street , Walla Walla WA 99362-3293. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Newcom, Mary Ann can be contacted via phone (509) 526-1779.Contact Information
Primary practice address
364 S. Park Street
Walla Walla WA 99362-3293
Phone: (509) 526-1779
Fax: (509) 526-4344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL60015392 |
Profile Details
| NPI number | 1982039780 |
|---|---|
| LBN Legal business name | Newcom, Mary Ann |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Sep 11th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982039780 | NPPES |
| Washington | Other | LL60015392 | WASHINGTON STATE DEPARTMENT OF HEALTH |
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