Newsom, Walter Scott

Newsom, Walter Scott is an sole proprietor health care provider with primary practice located at 8500 Shoal Creek Blvd Building 4, Suite 201A, Austin TX 78757-7591. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Newsom, Walter Scott can be contacted via phone (855) 640-1700.

Contact Information

Primary practice address
8500 Shoal Creek Blvd Building 4, Suite 201A Austin TX 78757-7591
Phone: (855) 640-1700
Fax: (855) 640-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31249 Texas

Profile Details

NPI number 1275526212
LBN Legal business name Newsom, Walter Scott
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Feb 8th, 2017 - about 9 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 1275526212 NPPES
Texas MEDICAID 145043901

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