Provider Demographics
NPI:1437634508
Name:NEWMAN, REBECCA A (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 SACAJAWEA PEAK DR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9366
Mailing Address - Country:US
Mailing Address - Phone:512-826-1111
Mailing Address - Fax:406-624-6055
Practice Address - Street 1:4055 VALLEY COMMONS DR STE E-4
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6432
Practice Address - Country:US
Practice Address - Phone:406-581-7083
Practice Address - Fax:406-624-6055
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106914235Z00000X
MT8059235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist