Individual
JON STEFFEN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
837 SEMINOLE RD, SUITE 200, MUSKEGON, MI 49441-6733
(231) 780-0100
(231) 780-0111
Mailing address
837 SEMINOLE RD, SUITE 200, MUSKEGON, MI 49441-6733
(231) 780-0100
(231) 780-0111
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301013149
MI
103TC0700X
Clinical Psychologist
Primary
6301013149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144318000
MAGELLAN
MI
01
—
680F111610
BLUE CROSS
MI
01
—
P23730002
WPS MEDICARE B
MI
Enumeration date
01/11/2007
Last updated
06/19/2008
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