MEDICARE: MS. TOBY ELLEN NEWMAN M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	014727	TX

General Provider Information

NPI Number	:	1215090972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TOBY ELLEN NEWMAN M.S.W.

Provider Business Mailing Address
First Line	:	5947 BENNING DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5804
Country	:	US
Telephone Number	:	713-729-6560
Fax Number	:

Provider Business Practice Location Address
First Line	:	3509 AUDUBON PL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4413
Country	:	US
Telephone Number	:	713-729-6989
Fax Number	:	713-667-3619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2006
Last Update Date	:	07/08/2007

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