Provider Demographics
NPI:1083843189
Name:NEWMAN, ERIK R
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:R
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9233 PARK MEADOWS DR STE 227
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5426
Mailing Address - Country:US
Mailing Address - Phone:720-464-7385
Mailing Address - Fax:720-210-9777
Practice Address - Street 1:9233 PARK MEADOWS DR STE 227
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5426
Practice Address - Country:US
Practice Address - Phone:720-464-7385
Practice Address - Fax:720-210-9777
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004412103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent