Individual
MRS. ELLEN K NEWBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1108 96TH ST, #209, BAY HARBOR, FL 33154
(305) 866-4407
Mailing address
816 RAYMOND ST, MIAMI BEACH, FL 33141
(305) 866-4407
(305) 866-4876
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
MH0004122
FL
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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