Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6301002605 | MI |
Y | 103T00000X | Psychologist | 6301002605 | MI |
NPI | 1003035098 |
---|---|
Provider Name | Arthur M Newhouse |
First Address | Traverse City, MI 49686-8369 |
Second Address | Traverse City, MI 49684-2288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 24/05/2011 |