MEDICARE: JODY K NEWMAN M.A., CCC-SP

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	:	1114946761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY K NEWMAN M.A., CCC-SP

Provider Business Mailing Address
First Line	:	2395 S COOK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 W 26TH AVE
Second Line	:	BUILDING C, SUITE 220
City	:	DENVER
State	:	CO
Zip	:	80211-5308
Country	:	US
Telephone Number	:	303-756-0049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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Directions to “ JODY K NEWMAN M.A., CCC-SP” Practice Location

Language	Start Address	Practice Location

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