Healthcare Provider Details

I. General information

NPI: 1275597361
Provider Name (Legal Business Name): LAWRENCE S NEWMAN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 FORBES AVE SUITE 105
PITTSBURGH PA
15217-1725
US

IV. Provider business mailing address

6301 FORBES AVE SUITE 105
PITTSBURGH PA
15217-1725
US

V. Phone/Fax

Practice location:
  • Phone: 412-421-3720
  • Fax: 412-421-3740
Mailing address:
  • Phone: 412-421-3720
  • Fax: 412-421-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS005171L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: