Healthcare Provider Details

I. General information

NPI: 1508296385
Provider Name (Legal Business Name): NEWLEN EDUCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2013
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9404 SHIELD DR
UPPER MARLBORO MD
20772-4335
US

IV. Provider business mailing address

9404 SHIELD DR
UPPER MARLBORO MD
20772-4335
US

V. Phone/Fax

Practice location:
  • Phone: 301-599-1673
  • Fax: 301-500-1208
Mailing address:
  • Phone: 301-599-1673
  • Fax: 301-500-1208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SHARON LENNON
Title or Position: CEO/CO-FOUNDER
Credential:
Phone: 301-599-1673