Healthcare Provider Details

I. General information

NPI: 1609091073
Provider Name (Legal Business Name): HARVEY S NEWMAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24891 HIGHWAY 6
HEMPSTEAD TX
77445-7747
US

IV. Provider business mailing address

24891 HWY 6
HEMPSTEAD TX
77445-7747
US

V. Phone/Fax

Practice location:
  • Phone: 713-869-8552
  • Fax: 713-869-8564
Mailing address:
  • Phone: 713-869-8552
  • Fax: 713-869-8564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: