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General NPI Number Information
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NPI Number | 1679328637
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Entity Type | Organization
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Legal Business Name | SANDRA NEWTON PHD LICENSED PSYCHOLOGIST PLLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 1871 S 22ND AVE STE 1
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City | BOZEMAN
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State | MT
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Zip | 59718-7054
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Country | US
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Telephone | 406-414-7002
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Fax |
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Provider Business Mailing Address
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Address Line | 1871 S 22ND AVE STE 1
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City | BOZEMAN
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State | MT
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Zip | 59718-7054
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Country | US
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Telephone | 406-414-7002
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | SANDRA NEWTON
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Credential | PHD
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Telephone | 406-414-7002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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