Individual
MR. EARL NEWTON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4319 S 59TH DR, PHOENIX, AZ 85043-1972
(602) 214-2771
Mailing address
4319 S 59TH DR, PHOENIX, AZ 85043-1972
(602) 214-2771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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