Provider Demographics
NPI:1043351158
Name:NEWMAN, ANDREA LEIGH (BSSW)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LEIGH
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:BSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-1709
Mailing Address - Country:US
Mailing Address - Phone:731-989-3401
Mailing Address - Fax:731-989-3838
Practice Address - Street 1:925 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-1709
Practice Address - Country:US
Practice Address - Phone:731-989-3401
Practice Address - Fax:731-989-3838
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor