MEDICARE: MS. KATHLEEN MARIE NEWELL SLP

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	100507	TX

General Provider Information

NPI Number	:	1780864272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN MARIE NEWELL SLP

Provider Business Mailing Address
First Line	:	1928 HAROLD ST # 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1502
Country	:	US
Telephone Number	:	713-520-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	9343 KIRBY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2516
Country	:	US
Telephone Number	:	713-383-2100
Fax Number	:

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

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	03/09/2009

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Directions to “ MS. KATHLEEN MARIE NEWELL SLP” Practice Location

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