Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 21951 | TX |
Y | 103T00000X | Psychologist | 21951 | TX |
N | 103G00000X | Clinical Psychologist | 21951 | TX |
N | 103TC0700X | Clinical Psychologist | 21951 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 21951 | TX |
NPI | 1043492945 |
---|---|
Provider Name | Dr. Lynda W Newman |
First Address | Dallas, TX 75240 |
Second Address | Dallas, TX 75240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 03/12/2007 |