Healthcare Provider Details

I. General information

NPI: 1326264540
Provider Name (Legal Business Name): SONITA JEAN NEWSOME B.A. M.A.E.D.ED.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 W CAMPBELL AVE
PHOENIX AZ
85017-4146
US

IV. Provider business mailing address

3022 W CAMPBELL AVE
PHOENIX AZ
85017-4146
US

V. Phone/Fax

Practice location:
  • Phone: 602-242-2442
  • Fax:
Mailing address:
  • Phone: 480-882-8601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPL5392
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLPL5392
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: