Provider Demographics
NPI:1235694134
Name:NEWKIRK, BETHANY (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 MALLORY LN STE 201
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8235
Mailing Address - Country:US
Mailing Address - Phone:615-771-0134
Mailing Address - Fax:615-771-8816
Practice Address - Street 1:2001 MALLORY LN STE 201
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8235
Practice Address - Country:US
Practice Address - Phone:615-771-0134
Practice Address - Fax:615-771-8816
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist