Healthcare Provider Details

I. General information

NPI: 1003956608
Provider Name (Legal Business Name): CHRISTIE LEE NEWMAN MA, LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTIE LEE AZZAM MA, LLP

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31000 TELEGRAPH RD STE 120
BINGHAM FARMS MI
48025-4321
US

IV. Provider business mailing address

31000 TELEGRAPH RD STE 120
BINGHAM FARMS MI
48025-4321
US

V. Phone/Fax

Practice location:
  • Phone: 248-594-4991
  • Fax:
Mailing address:
  • Phone: 248-594-4991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6361007241
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: