Doctor Name: | DR. ROBERT D NEWMAN |
NPI Number: | 1104101526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DD PHD |
License Number: | |
Business Practice Address: | 900 Corporate Pkwy Ste 106 Wentzville, MO - 633854822 |
Business Phone Number: | 6364590799 |
Business Fax Number: | |
Mailing Address: | 900 Corporate Pkwy, Ste 106 WENTZVILLE |
State: | MO |
Postal Code: | 633854822 |
Phone Number: | 6364590799 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2011 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |