Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I0004021 | OH |
NPI | 1003252552 |
---|---|
Provider Name | Sherah Ytta Newman |
First Address | Cleveland, OH 44106-4310 |
Second Address | Cleveland, OH 44106-4310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2013 |
Last Update Date | 10/05/2013 |