Individual
MS. NICOLE LYNN NEWNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PPS CREDENTIAL
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-6679
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-6679
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936627
—
AZ
Enumeration date
03/27/2007
Last updated
07/09/2007
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