| Doctor Name: | DR. SCOTT NEWKIRK |
| NPI Number: | 1609141688 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 016021 |
| Business Practice Address: | 21 Laurel Ave Suite 290 Cornwall, NY - 125181469 |
| Business Phone Number: | 8454584558 |
| Business Fax Number: | 8454584559 |
| Mailing Address: | 21 Laurel Ave, Suite 290 CORNWALL |
| State: | NY |
| Postal Code: | 125181469 |
| Phone Number: | 8454584558 |
| Fax Number: | 8454584559 |
| NPI Enumeration Date: | 03/09/2012 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | 016021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |