Individual
STEPHANI NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, NCSP
Contact information
Practice address
5865 E 50 S, LAFAYETTE, IN 47905-8731
(765) 772-7000
Mailing address
5865 E 50 S, LAFAYETTE, IN 47905-8731
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10188192
IN
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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