Organization
JASON R. NEWELL, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ROBERT NEWELL PH.D. (OWNER)
(602) 478-0576
Entity
Organization
Contact information
Practice address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 478-0576
Mailing address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 478-0576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3329
AZ
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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