Healthcare Provider Details

I. General information

NPI: 1881025328
Provider Name (Legal Business Name): DEMELZA NEWMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7887 EAST BELLEVIEW AVE SUITE 1100
DENVER CO
80111-0000
US

IV. Provider business mailing address

7887 EAST BELLEVIEW AVE SUITE 1100
DENVER CO
80111-0000
US

V. Phone/Fax

Practice location:
  • Phone: 303-639-5240
  • Fax: 303-648-6506
Mailing address:
  • Phone: 303-639-5240
  • Fax: 303-648-6506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11527
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: