Provider Demographics
NPI:1518513829
Name:NEWMAN, KEARIE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KEARIE
Middle Name:ANN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KEARIE
Other - Middle Name:ANN
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ALGUIRE
Mailing Address - Street 1:14131 MIDWAY RD STE 800
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3627
Mailing Address - Country:US
Mailing Address - Phone:315-529-3278
Mailing Address - Fax:
Practice Address - Street 1:12303 E 104TH PL UNIT 105
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-2098
Practice Address - Country:US
Practice Address - Phone:315-529-3278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015339101YP2500X
COPSYC.00014573103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional