Healthcare Provider Details

I. General information

NPI: 1831971555
Provider Name (Legal Business Name): STEPHANIE NEWMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

591 WARBURTON AVE SUITE 643
HASTINGS ON HUDSON NY
10706
US

IV. Provider business mailing address

591 WARBURTON AVE SUITE 643
HASTINGS ON HUDSON NY
10706-7533
US

V. Phone/Fax

Practice location:
  • Phone: 212-717-7693
  • Fax:
Mailing address:
  • Phone: 212-717-7693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number013751-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number013751-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number013751
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number013751-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: