Individual
DR. WALTER SCOTT NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8500 SHOAL CREEK BLVD, BUILDING 4, SUITE 201A, AUSTIN, TX 78757-7591
(855) 640-1700
(855) 640-1700
Mailing address
2101 LANIER DR, AUSTIN, TX 78757-7736
(855) 640-1700
(855) 640-1700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145043901
—
TX
Enumeration date
08/24/2005
Last updated
02/08/2017
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