Individual
CRYSTAL W NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
301 N NEIL ST STE 210, CHAMPAIGN, IL 61820-3166
(217) 244-4597
Mailing address
612 W GREEN ST, URBANA, IL 61801-3945
(732) 513-5455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007928
IL
Other
Enumeration date
10/21/2011
Last updated
04/26/2021
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