Psychiatric & Psychotherapy Clinic L I Newman MD SC Gen Ptr
Psychiatric & Psychotherapy Clinic L I Newman MD SC Gen Ptr is an Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
3601 30th Ave Ste 102Kenosha, WI 53144-1642
Phone: (262) 654-0487
Fax: (262) 654-2434
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Addiction (Substance Use Disorder) Psychologist | Taxonomy 103TA0400X |
| Addiction Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084A0401X |
Record details
| NPI number | 1932312212 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Defazio — Owner · (262) 654-0487 |
| NPI enumerated | May 7, 2007 |
| Last updated in NPPES | August 11, 2011 |
| Mailing address | 3601 30th Ave Ste 102, Kenosha, WI 53144-1642 |
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