Provider Demographics
NPI:1669913570
Name:NEWMAN, NANCY R (SLP, CCC, MA)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:R
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:SLP, CCC, MA
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3413 SLADE RUN DR.
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042
Mailing Address - Country:US
Mailing Address - Phone:703-533-0388
Mailing Address - Fax:
Practice Address - Street 1:3413 SLADE RUN DR.
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042
Practice Address - Country:US
Practice Address - Phone:703-533-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202001662235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist