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NPI Code Detail

MEDICARE: DR. KEARIE ANN NEWMAN PHD

MEDICARE: DR. KEARIE ANN NEWMAN PHD
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
1103TC0700XClinical Psychologist0006417CO

General Provider Information

NPI Number : 1518513829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEARIE ANN NEWMAN PHD
Provider Business Mailing Address
First Line : 14131 MIDWAY RD STE 800
Second Line :
City : ADDISON
State : TX
Zip : 75001-3627
Country : US
Telephone Number : 315-529-3278
Fax Number :
Provider Business Practice Location Address
First Line : 12303 E 104TH PL UNIT 105
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-2098
Country : US
Telephone Number : 315-529-3278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2019
Last Update Date : 05/22/2024

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