Individual
MS. CAROL RUTH NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
855 MARTHA LAKE COURT, SAINT PAUL, MN 55126
(218) 429-5282
Mailing address
855 VILLAGE CENTER DR # 359, SAINT PAUL, MN 55127-3016
(218) 429-5282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118235
UCARE
MN
05
—
277517400
—
MN
01
—
287T4NE
BCBS OF MN PROVIDER
MN
01
—
287T5NE
BCBS OF MN INDIVIDUAL
MN
01
—
6256700
UNITED BEHAVIORAL HEALTH
MN
01
—
87766
HEALTH PARTNERS
MN
01
—
98556
MAYO (MMSI)
MN
Enumeration date
08/23/2006
Last updated
11/03/2023
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