MEDICARE: ANJAIL NEWELL

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1588595276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANJAIL NEWELL

Provider Business Mailing Address
First Line	:	2941 190TH PL
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-3475
Country	:	US
Telephone Number	:	708-548-5242
Fax Number	:

Provider Business Practice Location Address
First Line	:	969 FRAYSER BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-5977
Country	:	US
Telephone Number	:	901-842-3162
Fax Number	:

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

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ ANJAIL NEWELL ” Practice Location

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