Provider Demographics
NPI:1255857652
Name:NEWMAN, RACHEL KATHLEEN
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:KATHLEEN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SE 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:64075-9384
Mailing Address - Country:US
Mailing Address - Phone:816-690-4153
Mailing Address - Fax:816-690-8561
Practice Address - Street 1:501 SE 12TH ST
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:MO
Practice Address - Zip Code:64075-9384
Practice Address - Country:US
Practice Address - Phone:816-690-4153
Practice Address - Fax:816-690-8561
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist