Provider Demographics
NPI:1306991344
Name:NEWMAN, ERIN Y (MA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:Y
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 N HARBOR BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4129
Mailing Address - Country:US
Mailing Address - Phone:714-870-4822
Mailing Address - Fax:714-870-4804
Practice Address - Street 1:1321 N HARBOR BLVD STE 101
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4129
Practice Address - Country:US
Practice Address - Phone:714-870-4822
Practice Address - Fax:714-870-4804
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2885231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWAU1152BOtherPPIN NUMBER
CAW19659Medicare ID - Type UnspecifiedGROUP ID MEDICARE NUMBER
CAR94313Medicare UPIN