Provider Demographics
NPI:1285686964
Name:NEWBY, ROBERT F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:NEWBY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:NEUROPSYCHOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-5660
Mailing Address - Fax:414-259-9012
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:NEUROPSYCHOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-5660
Practice Address - Fax:414-259-9012
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1000103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
002000128HOtherHUMANA
WI1285686964Medicaid
WI39030600Medicaid
WI39030600Medicaid
002000128HOtherHUMANA