MEDICARE: MARY CATHERINE NEWTON

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	2355S0801X	Speech-Language Assistant	2912	CA

General Provider Information

NPI Number	:	1275939407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY CATHERINE NEWTON

Provider Business Mailing Address
First Line	:	2902 KNOXVILLE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1522
Country	:	US
Telephone Number	:	562-377-8955
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 KNOXVILLE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1522
Country	:	US
Telephone Number	:	562-377-8955
Fax Number	:

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

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	11/17/2014

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Directions to “ MARY CATHERINE NEWTON ” Practice Location

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