MEDICARE: NEW DAWN THERAPY SERVICES, PLLC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1730779166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAWN THERAPY SERVICES, PLLC

Provider Business Mailing Address
First Line	:	2512 SHADY GROVE LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2717
Country	:	US
Telephone Number	:	214-506-1208
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 SHADY GROVE LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2717
Country	:	US
Telephone Number	:	214-506-1208
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST/OWNER
Name	:	SARAH WELCH
Credential	:	CCC-SLP
Telephone Number	:	214-506-1208

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	01/20/2021

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