Healthcare Provider Details

I. General information

NPI: 1538457106
Provider Name (Legal Business Name): MS. DEBBY NEWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 11/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 VAN NUYS BLVD SUITE 200
PACOIMA CA
91331-1391
US

IV. Provider business mailing address

16200 VENTURA BLVD STE 403
ENCINO CA
91436-4692
US

V. Phone/Fax

Practice location:
  • Phone: 818-896-1161
  • Fax: 818-896-5069
Mailing address:
  • Phone: 661-977-6422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number97612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: