| Doctor Name: | DR. KEVIN PAUL NEWGREN |
| NPI Number: | 1912035254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | PS016877 |
| Business Practice Address: | 108 S Main St Manheim, PA - 175451602 |
| Business Phone Number: | 7176652675 |
| Business Fax Number: | 7176656193 |
| Mailing Address: | 108 S Main St, MANHEIM |
| State: | PA |
| Postal Code: | 175451602 |
| Phone Number: | 7176652675 |
| Fax Number: | 7176656193 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |