Individual
DR. JASON ROBERT NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 478-0576
(602) 443-0401
Mailing address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 478-0576
(602) 443-0401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3329
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3329
PSYCHOLOGIST LICENSE
AZ
Enumeration date
05/29/2017
Last updated
07/21/2022
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