Provider Demographics
NPI:1487932133
Name:NEWBY, TOBIRUS MOZELLE (TOBIRUS NEWBY)
Entity type:Individual
Prefix:MR
First Name:TOBIRUS
Middle Name:MOZELLE
Last Name:NEWBY
Suffix:
Gender:M
Credentials:TOBIRUS NEWBY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 23RD AVE
Mailing Address - Street 2:APT. B
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-4280
Mailing Address - Country:US
Mailing Address - Phone:919-360-0463
Mailing Address - Fax:
Practice Address - Street 1:2222 BANCROFT WAY
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-4301
Practice Address - Country:US
Practice Address - Phone:510-642-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical