Provider Demographics
NPI:1588819916
Name:NEWMAN, LESLIE BETH (MACCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:BETH
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SUTTON TER
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1928
Mailing Address - Country:US
Mailing Address - Phone:516-433-2031
Mailing Address - Fax:
Practice Address - Street 1:16 SUTTON TER
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1928
Practice Address - Country:US
Practice Address - Phone:516-433-2031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010641-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist