Provider Demographics
NPI:1588804322
Name:NEWLAND, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:NEWLAND
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 1:428 CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:HARWOOD
Mailing Address - State:ND
Mailing Address - Zip Code:58042-4004
Mailing Address - Country:US
Mailing Address - Phone:701-277-7188
Mailing Address - Fax:
Practice Address - Street 1:110 FREEDLAND DR
Practice Address - Street 2:HARWOOD ELEMENTARY SCHOOL
Practice Address - City:HARWOOD
Practice Address - State:ND
Practice Address - Zip Code:58042-4131
Practice Address - Country:US
Practice Address - Phone:701-356-2040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1061235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist