Provider Demographics
NPI:1356860472
Name:NEWMAN, HELENA (TEACHER)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:MS
Other - First Name:HELENA
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TEACHER
Mailing Address - Street 1:2001 DOWNSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-3886
Mailing Address - Country:US
Mailing Address - Phone:240-643-7748
Mailing Address - Fax:
Practice Address - Street 1:2001 DOWNSHIRE CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-3886
Practice Address - Country:US
Practice Address - Phone:240-643-7748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor