Provider Demographics
NPI:1124363114
Name:NEWELL, CATHERINE JEAN (LAMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEAN
Last Name:NEWELL
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9706 E LOBO AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-2549
Mailing Address - Country:US
Mailing Address - Phone:808-635-0658
Mailing Address - Fax:
Practice Address - Street 1:6402 E SUPERSTITION SPRINGS BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4392
Practice Address - Country:US
Practice Address - Phone:480-331-7358
Practice Address - Fax:480-558-3020
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10383106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist