Provider Demographics
NPI:1417366139
Name:NEWMAN PSYCHOLOGY & ASSOICATES PLLC
Entity type:Organization
Organization Name:NEWMAN PSYCHOLOGY & ASSOICATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-488-7792
Mailing Address - Street 1:17045 EL CAMINO REAL
Mailing Address - Street 2:213
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2649
Mailing Address - Country:US
Mailing Address - Phone:281-488-7792
Mailing Address - Fax:281-984-7922
Practice Address - Street 1:17045 EL CAMINO REAL
Practice Address - Street 2:213
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2649
Practice Address - Country:US
Practice Address - Phone:281-488-7792
Practice Address - Fax:281-984-7922
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63748305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization