Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY.0004412 | CO |
NPI | 1083843189 |
---|---|
Provider Name | Erik R Newman |
First Address | Lone Tree, CO 80124-5426 |
Second Address | Lone Tree, CO 80124-5426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 06/08/2019 |