Provider Demographics
NPI:1932385010
Name:NEWMAN, CATHY MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:MARIE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 COMMERCE CENTER CT
Mailing Address - Street 2:STE 101
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3817
Mailing Address - Country:US
Mailing Address - Phone:239-939-2621
Mailing Address - Fax:239-939-3875
Practice Address - Street 1:9711 COMMERCE CENTER CT STE 101
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3817
Practice Address - Country:US
Practice Address - Phone:239-939-2621
Practice Address - Fax:239-939-3875
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2020231H00000X, 231H00000X
OH01796237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01652188OtherRR MEDICARE
FLP01652188OtherRR MEDICARE