Individual
THERESA NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3595 SHERIDAN ST, SUITE #103, HOLLYWOOD, FL 33021-3657
(954) 981-8200
(954) 272-8043
Mailing address
4400 N FEDERAL HWY, SUITE #42, BOCA RATON, FL 33431-5187
(954) 981-8200
(954) 272-8043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8615
FL
Other
Enumeration date
11/09/2012
Last updated
12/20/2012
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