Provider Demographics
NPI:1508953829
Name:NEWTON, MATTHEW A (LPC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:A
Last Name:NEWTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 N PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2826
Mailing Address - Country:US
Mailing Address - Phone:970-397-0005
Mailing Address - Fax:
Practice Address - Street 1:5350 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-4098
Practice Address - Country:US
Practice Address - Phone:970-397-0005
Practice Address - Fax:866-738-9848
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional