Provider Demographics
NPI:1154852192
Name:NEWTON, BRIANNA J'ANNETTE (MA, LLP)
Entity type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:J'ANNETTE
Last Name:NEWTON
Suffix:
Gender:
Credentials:MA, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W WESTERN AVE STE 406
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49440-1101
Mailing Address - Country:US
Mailing Address - Phone:231-286-6436
Mailing Address - Fax:231-788-9159
Practice Address - Street 1:425 W WESTERN AVE STE 406
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1101
Practice Address - Country:US
Practice Address - Phone:231-286-6436
Practice Address - Fax:231-788-9159
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361000742103T00000X
MI6301016909103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist