MEDICARE: DR. LAWRENCE S NEWMAN PHD

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	103TC2200X	Clinical Child & Adolescent Psychologist	PS005171L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	602426	OTHER	PA	HIGHMARK BC/BS

General Provider Information

NPI Number	:	1275597361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE S NEWMAN PHD

Provider Business Mailing Address
First Line	:	6301 FORBES AVE
Second Line	:	SUITE 105
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1725
Country	:	US
Telephone Number	:	412-421-3720
Fax Number	:	412-421-3740

Provider Business Practice Location Address
First Line	:	6301 FORBES AVE
Second Line	:	SUITE 105
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1725
Country	:	US
Telephone Number	:	412-421-3720
Fax Number	:	412-421-3740

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	12/17/2015

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