Provider Demographics
NPI:1508576596
Name:NEWTON, MARIELLE KAREN (MA, CT)
Entity Type:Individual
Prefix:MRS
First Name:MARIELLE
Middle Name:KAREN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MA, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10166 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1491
Mailing Address - Country:US
Mailing Address - Phone:603-617-6913
Mailing Address - Fax:
Practice Address - Street 1:9545 KENWOOD RD STE 304
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6100
Practice Address - Country:US
Practice Address - Phone:513-399-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health