Individual
DEBRA L NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 EL ENCANTO WAY, SANTA ROSA, CA 95409-4378
(978) 769-7265
Mailing address
184 EL ENCANTO WAY, SANTA ROSA, CA 95409-4378
(978) 769-7265
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
A5419208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A5419208
—
CA
Enumeration date
11/15/2021
Last updated
11/15/2021
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