Newman, Audrey L

Newman, Audrey L is an individual health care provider with primary practice located at 1491 Interiachen Rd #257 H , Seal Beach CA 90740. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Newman, Audrey L can be contacted via phone (562) 461-7500.

Contact Information

Primary practice address
1491 Interiachen Rd #257 H Seal Beach CA 90740
Phone: (562) 461-7500
Fax: (562) 431-7595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 10985 California

Profile Details

NPI number 1275675589
LBN Legal business name Newman, Audrey L
Credentials DR
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275675589 NPPES
California MEDICAID PSY109850
California MEDICAID 6725122

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