Provider Demographics
NPI:1235697343
Name:NEWWAY SPEECH AND OCCUPATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:NEWWAY SPEECH AND OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBB
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:251-510-5452
Mailing Address - Street 1:4937 STONE MILL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1629
Mailing Address - Country:US
Mailing Address - Phone:251-510-5452
Mailing Address - Fax:
Practice Address - Street 1:4937 STONE MILL RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-1629
Practice Address - Country:US
Practice Address - Phone:205-335-1615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWWAY SPEECH AND OCCUPATIONAL THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty