Provider Demographics
NPI:1578133518
Name:NEWLANDS, ADRIENNE (C-SLPA)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:NEWLANDS
Suffix:
Gender:F
Credentials:C-SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31650 N DESERT WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-6348
Mailing Address - Country:US
Mailing Address - Phone:480-955-8083
Mailing Address - Fax:
Practice Address - Street 1:971 N GILBERT RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-3472
Practice Address - Country:US
Practice Address - Phone:480-559-8089
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA143872355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant