MEDICARE: NEW BEGINNINGS THERAPY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center	2202003588	VA

General Provider Information

NPI Number	:	1568443497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS THERAPY ASSOCIATES

Provider Business Mailing Address
First Line	:	11 LAVENDER TRCE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1193
Country	:	US
Telephone Number	:	757-329-1321
Fax Number	:	757-788-8395

Provider Business Practice Location Address
First Line	:	11 LAVENDER TRCE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1193
Country	:	US
Telephone Number	:	757-329-1321
Fax Number	:	757-788-8395

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MS. RANASHIA MARCHEA WILSON
Credential	:	M.A., CCC-SLP
Telephone Number	:	757-329-1321

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	03/19/2010

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