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NPI Code Detail

MEDICARE: DR. WALTER SCOTT NEWSOM PH.D.

MEDICARE:  DR. WALTER SCOTT NEWSOM  PH.D.
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
1103T00000XPsychologist31249TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275526212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER SCOTT NEWSOM PH.D.
Provider Business Mailing Address
First Line : 2101 LANIER DR
Second Line :
City : AUSTIN
State : TX
Zip : 78757-7736
Country : US
Telephone Number : 855-640-1700
Fax Number : 855-640-1700
Provider Business Practice Location Address
First Line : 8500 SHOAL CREEK BLVD
Second Line : BUILDING 4, SUITE 201A
City : AUSTIN
State : TX
Zip : 78757-7591
Country : US
Telephone Number : 855-640-1700
Fax Number : 855-640-1700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 02/08/2017

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Directions to “ DR. WALTER SCOTT NEWSOM PH.D.” Practice Location

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