Doctor Name: | CHARLES STEPHEN NEWMARK |
NPI Number: | 1023073772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 305 |
Business Practice Address: | 800 Eastowne Dr Ste 207 Chapel Hill, NC - 27514 |
Business Phone Number: | 9199425249 |
Business Fax Number: | 9194080122 |
Mailing Address: | 800 Eastowne Dr, Ste 207 CHAPEL HILL |
State: | NC |
Postal Code: | 27514 |
Phone Number: | 9199425249 |
Fax Number: | 9194080122 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |