Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | RPS281 | CA |
Y | 103T00000X | Psychologist | RPS281 | CA |
NPI | 1003438607 |
---|---|
Provider Name | Dr. Natalie Newton |
First Address | Garden Grove, CA 92846-6064 |
Second Address | Newport Beach, CA 92660-2842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2020 |
Last Update Date | 18/05/2020 |