Newman, Stephanie Randolph

Newman, Stephanie Randolph is an individual health care provider with primary practice located at 975 Solomons Island Rd N Suite 119, Prince Frederick MD 20678-3917. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Newman, Stephanie Randolph can be contacted via phone (410) 535-5400.

Contact Information

Primary practice address
975 Solomons Island Rd N Suite 119 Prince Frederick MD 20678-3917
Phone: (410) 535-5400
Fax: (410) 535-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC6333 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA2236 Maryland

Profile Details

NPI number 1447563580
LBN Legal business name Newman, Stephanie Randolph
Credentials MS, LCPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2010
Last updated Aug 25th, 2016 - about 10 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 1447563580 NPPES
Maryland MEDICAID 3322998 00

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